Agustinus Suhardja, MD
NPI #1235349473 in Glendora, California
Provider Information
- NPI Number
- 1235349473
- Entity Type
- Individual
- Name
- Agustinus Suhardja, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Radiology - Diagnostic Radiology
- Credential
- MD
- Enumeration Date
- May 23, 2007
- Last Updated
- Nov 29, 2021
Practice Location
- Address
- 828 S GRAND AVE STE 104
- City
- Glendora
- State
- California
- ZIP Code
- 91740-4856
- Phone
- (626) 963-2057
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
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