Individual provider · Type 1 NPI
Dewi S. Sudjono-Santoso, MEDICAL DOCTOR
Pediatric Adolescent Medicine Physician · Hightstown, NJ
NPI number
1053342865
Active
Practice location
251 Princeton Hightown Rd
Hightstown, NJ 08520
Fax (609) 395-1978
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Adolescent Medicine Physician Primary | 2080A0000X | MA06441900 (NJ) |
Pediatric Adolescent Medicine Physician: A pediatrician who 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.
About NPI 1053342865
Dewi S. Sudjono-Santoso, MEDICAL DOCTOR's National Provider Identifier is 1053342865, issued on Jul 6, 2006. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Hightstown, NJ. The record was last updated on Jul 8, 2007.