Dr. Dewi S Sudjono-santoso
MEDICAL DOCTOR | Pediatric Adolescent Medicine | Female
Dr. Dewi S Sudjono-santoso, MEDICAL DOCTOR is a Hightstown, New Jersey based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Dr. Dewi S Sudjono-santoso is
251 Princeton Hightown Rd, Hightstown, New Jersey - 08520. She can be contacted on phone at
609-448-1421 and fax number 609-395-1978.
Dr. Dewi S Sudjono-santoso is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Dewi S Sudjono-santoso is
1053342865 which was assigned by NPPES on 06 Jul, 2006 and it was last updated on 08 Jul, 2007.
Dr. Dewi S Sudjono-santoso license number is
MA06441900 for Pediatrics Adolescent Medicine (2080A0000X) in New Jersey.
Dr. 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:
Dr. Dewi S Sudjono-santoso basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
|---|
| Provider Name : | Dr. Dewi S Sudjono-santoso |
|---|
| Credential : | MEDICAL DOCTOR |
|---|
| Gender : | Female |
|---|
Business Address:
Dr. 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 : | 251 Princeton Hightown Rd
Hightstown, NJ, 08520
United States |
|---|
| Phone Number : | 609-448-1421 |
|---|
| Fax Number : | 609-395-1978 |
|---|
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 : | 1053342865 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 06 Jul, 2006 |
|---|
| Last Updated On : | 08 Jul, 2007 |
|---|
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 Dr. Dewi S Sudjono-santoso are as mentioned. Primary taxonomy code for Dr. Dewi S Sudjono-santoso, MEDICAL DOCTOR is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | MA06441900 | NJ |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Dewi S Sudjono-santoso such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 3134649 | Other | | CIGNA |
| 4058994 | Other | | AETNA PPO |
| 82836 | Other | | AMERGRP |
| 385405 | Other | | AMERHLTH PPO |
| 249850 | Other | | UNHC |
| MEP135 | Other | | OXFORD |
| 0404226610 | Other | | AMERHLTH HMO |
| 36701 | Other | | AETNA HMO |
| 2K0986 | Other | | HEALTH NET |
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 : | 251 Princeton Hightown Rd
Hightstown, NJ, 08520
United States |
|---|
| Phone Number : | 609-448-1421 |
|---|
| Fax Number : | 609-395-1978 |
|---|
Business Location:
Patients can refer following map for directions to
Dr. 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. Last updated on 08 January, 2024.