Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Michael Clarence Tjandrawidjaja, MD

Individual provider Cardiovascular Disease Physician · NPI 1831403674

Dr. Michael Clarence Tjandrawidjaja, MD is a Cardiovascular Disease Physician in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2010.

Licensed in
MA
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

75 Francis St Dept OF Medicine Cardiovascular Division
Boston, MA 02115-6110
Phone: (617) 732-6660
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 243066 (MA)

Record details

NPI number1831403674
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 4, 2010
Last updated in NPPESAugust 4, 2010

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