Dewi S. Sudjono-santoso
Pediatric Adolescent Medicine
Dewi S. Sudjono-santoso is a Cranbury, New Jersey based Pediatric center with medical specialization in
Pediatric Adolescent Medicine. Dewi S. Sudjono-santoso is also known as
Same As Above.
It is located at
339 Princeton-hightstown Rd, Building B, Cranbury, New Jersey - 08512. They can be contacted on phone at
609-918-1030 and fax number 609-918-1322.
NPI number (Unique professional ID) for Dewi S. Sudjono-santoso is
1124417639 which was assigned by NPPES on 21 Jan, 2015 and it was last updated on 21 Jan, 2015.
Dewi S. Sudjono-santoso license number is
MA01513300 for Pediatrics Adolescent Medicine (2080A0000X) in New Jersey.
Dewi S. Sudjono-santoso specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Dewi S. Sudjono-santoso basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
|---|
| Provider Name : | Dewi S. Sudjono-santoso |
|---|
| Other Name : | Same As Above |
|---|
Business Address:
Dewi S. Sudjono-santoso address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 339 Princeton-hightstown Rd, Building B
Cranbury, NJ, 08512
United States |
|---|
| Phone Number : | 609-918-1030 |
|---|
| Fax Number : | 609-918-1322 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1124417639 |
|---|
| NPI Entity Type : | Organization |
|---|
| First Enrolment Date : | 21 Jan, 2015 |
|---|
| Last Updated On : | 21 Jan, 2015 |
|---|
Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Dewis Sudjono-santoso |
|---|
| Authorized Official Credential : | MD |
|---|
| Official Title or Position : | OWNER |
|---|
| Phone Number : | 609-918-1030 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dewi S. Sudjono-santoso are as mentioned. Primary taxonomy code for Dewi S. Sudjono-santoso is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | MA01513300 | NJ |
Legacy Identifiers:
Other legacy medical identifiers of Dewi S. Sudjono-santoso such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1053342865 | MEDICAID | NJ | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 339 Princeton-hightstown Rd, Building B
Cranbury, NJ, 08512
United States |
|---|
| Phone Number : | 609-918-1030 |
|---|
| Fax Number : | 609-918-1322 |
|---|
Business Location:
Patients can refer following map for directions to
Dewi S. Sudjono-santoso practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.