Provider Demographics
NPI:1598965071
Name:VAZIRANI, TINA (MD)
Entity Type:Individual
Prefix:DR
First Name:TINA
Middle Name:
Last Name:VAZIRANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:475 COUNTY ROAD 520
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MARLBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:07746-1059
Mailing Address - Country:US
Mailing Address - Phone:732-370-2220
Mailing Address - Fax:732-548-7408
Practice Address - Street 1:475 COUNTY ROAD 520
Practice Address - Street 2:SUITE 201
Practice Address - City:MARLBORO
Practice Address - State:NJ
Practice Address - Zip Code:07746-1059
Practice Address - Country:US
Practice Address - Phone:732-370-2220
Practice Address - Fax:732-548-7408
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-23
Last Update Date:2015-07-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA09344000207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology