Individual
ARVIA SUTANDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
90 WELLS AVE, NEWTON, MA 02459-3210
(617) 969-6130
Mailing address
1796 BEACON ST APT 3, BROOKLINE, MA 02445-2069
(626) 384-7459
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2335002
MA
Other
Enumeration date
08/08/2020
Last updated
08/08/2020
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