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Individual

LEONARDO TJAHJONO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7500 GREENWAY CENTER DR STE 1220, GREENBELT, MD 20770-3590
(301) 615-1986
(301) 200-8767
Mailing address
1321 RHODE ISLAND AVE NW APT 2, WASHINGTON, DC 20005-4871

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
0101277702
VA
207N00000X
Dermatology Physician
Primary
MD600004150
DC

Other

Enumeration date
03/25/2019
Last updated
06/25/2025
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