DR. MICHAEL CLARENCE TJANDRAWIDJAJA M.D.
NPI 1831403674
Internal Medicine - Cardiovascular Disease in Boston, MA

Active since August 04, 2010
75 FRANCIS ST, DEPT OF MEDICINE CARDIOVASCULAR DIVISION, BOSTON, MA 02115(617) 732-6660 Get Directions Write a Review

NPPES record last updated: August 4, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Michael Clarence Tjandrawidjaja M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL CLARENCE TJANDRAWIDJAJA M.D. (NPI 1831403674) is an individual cardiovascular disease provider in Boston, Massachusetts, licensed in Massachusetts (243066) and active in the NPI registry since August 2010.

NPPES Registry Identity

NPI1831403674
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. MICHAEL CLARENCE TJANDRAWIDJAJACredential: M.D.
Location Address75 FRANCIS ST, DEPT OF MEDICINE CARDIOVASCULAR DIVISIONBoston, MA 02115-6110
Mailing Address50 Winchester St, Apt 409Brookline, MA 02446-2751 · (857) 445-7750
Sole ProprietorNo
Enumeration DateAugust 4, 2010
NPI 1831403674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in MA · 243066
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
75 FRANCIS ST, Boston, MA 02115

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Gastroenterology)
75 FRANCIS ST
BOSTON, MA 02115
Neurological Surgery
75 FRANCIS ST
BOSTON, MA 02115
Student in an Organized Health Care Education/Training Program
75 FRANCIS ST
BOSTON, MA 02115
Radiology (Diagnostic Radiology)
75 FRANCIS ST, DEPARTMENT OF RADIOLOGY
BOSTON, MA 02115
Surgery (Vascular Surgery)
75 FRANCIS ST, BRIGHAM AND WOMEN'S HOSPITAL
BOSTON, MA 02115
Internal Medicine (Infectious Disease)
75 FRANCIS ST
BOSTON, MA 02115
Emergency Medicine
75 FRANCIS ST, BWH DEPT. OF EMERGENCY MEDICINE
BOSTON, MA 02115
Physician Assistant
75 FRANCIS ST
BOSTON, MA 02115

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Tjandrawidjaja's NPI number?

The NPI number for Michael Tjandrawidjaja is 1831403674. It was assigned to this individual provider in the NPPES registry on August 4, 2010.

Where is Michael Tjandrawidjaja located?

Michael Tjandrawidjaja practices at 75 Francis St Dept Of Medicine Cardiovascular Division, Boston, MA 02115. The listed phone number is (617) 732-6660.

What is Michael Tjandrawidjaja's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Michael Tjandrawidjaja was last updated on August 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.