License holder summary

WIDJAJA DAVID is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for WIDJAJA DAVID is BRONX NY. This doctor license is current. The license was granted 05/07/2014 and expired on 04/30/2016.

New York

Office of the Professions

WIDJAJA DAVID
Medicine (Physician, Including M Ds & D Os)
License number
275018
Date granted
05/07/2014
Date expires
04/30/2016
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
BRONX NY
nymedicine.org
ID 30310559
LAST UPDATED 2024-04-03 23:01:22 UTC

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