Provider Demographics
NPI:1356654438
Name:VINDENES, TINE (MD)
Entity Type:Individual
Prefix:DR
First Name:TINE
Middle Name:
Last Name:VINDENES
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 1:800 WASHINGTON ST
Mailing Address - Street 2:DIVISON ON GEOGRAPHIC MEDICINE AND INFECTIOUS DISEASES
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02111-1552
Mailing Address - Country:US
Mailing Address - Phone:617-636-5000
Mailing Address - Fax:617-636-7100
Practice Address - Street 1:800 WASHINGTON ST
Practice Address - Street 2:DIVISION OF GEOGRAPHIC MEDICINE AND INFECTIOUS DISEASES
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111-1552
Practice Address - Country:US
Practice Address - Phone:617-636-5000
Practice Address - Fax:617-636-7100
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-19
Last Update Date:2016-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
MA255145207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program