Provider Demographics
NPI:1114101409
Name:TINTORER, CHRISTINE CAROL (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:CAROL
Last Name:TINTORER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 S HOLMDEL RD STE 5
Mailing Address - Street 2:
Mailing Address - City:HOLMDEL
Mailing Address - State:NJ
Mailing Address - Zip Code:07733-2614
Mailing Address - Country:US
Mailing Address - Phone:732-444-1330
Mailing Address - Fax:732-444-1331
Practice Address - Street 1:22 S HOLMDEL RD STE 5
Practice Address - Street 2:
Practice Address - City:HOLMDEL
Practice Address - State:NJ
Practice Address - Zip Code:07733-2614
Practice Address - Country:US
Practice Address - Phone:732-444-1330
Practice Address - Fax:732-444-1331
Is Sole Proprietor?:No
Enumeration Date:2007-12-21
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2424762084P0804X, 2084P0800X
NJ25MA087659002084P0804X
PAMD4750062084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry