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BUDI SAPUTRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2010 OLD WEST CHESTER PIKE, PHILADELPHIA, PA 19083
(610) 789-8070
(610) 789-9937
Mailing address
PO BOX 8500 4066, PHILADELPHIA, PA 19178-4066
(888) 709-4485
(302) 733-0854

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD42544L
PA

Other

Enumeration date
07/21/2006
Last updated
11/01/2007
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