Individual
PHILIP BUDIHARDJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1001 SAM PERRY BLVD, FREDERICKSBURG, VA 22401-4453
(540) 741-5610
Mailing address
1340 CENTRAL PARK BLVD STE 100, FREDERICKSBURG, VA 22401-4940
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0102209896
VA
2085R0202X
Diagnostic Radiology Physician
3977
IA
Other
Enumeration date
05/31/2007
Last updated
05/13/2026
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