Individual
DAVID WIDJAJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1650 GRAND CONCOURSE, BRONX, NY 10457-7606
(718) 960-1234
Mailing address
1650 SELWYN AVE, 10TH FLOOR, BRONX, NY 10457-7626
(718) 960-1234
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
275018
NY
207RG0100X
Gastroenterology Physician
Primary
275018
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
275018
NY
Other
Enumeration date
06/11/2008
Last updated
05/14/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us