Individual
JUWONO LINDAWATI SUTEDJO
Active
Individual
JUWONO LINDAWATI SUTEDJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
21983
MT
207R00000X
Internal Medicine Physician
228744
MA
207RC0000X
Cardiovascular Disease Physician
21983
MT
207RC0000X
Cardiovascular Disease Physician
Primary
C180691
CA
207UN0901X
Nuclear Cardiology Physician
C180691
CA
Other
Enumeration date
01/24/2007
Last updated
09/18/2024
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