Individual
KATHREEN THARWAT TADROUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
655 E. JERSEY SREET, TRINITAS REGIONAL MEDICAL CENTER, ELIZABETH, NJ 07206
(908) 994-3105
Mailing address
655 E. JERSEY SREET, TRINITAS REGIONAL MEDICAL CENTER, ELIZABETH, NJ 07206
(908) 994-7455
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
25MA09791900
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/21/2011
Last updated
10/31/2016
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