Individual
DR. TINA IRENE RENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 SOUTH ST, SOUTHBRIDGE, MA 01550-4051
(508) 765-9771
(508) 909-7709
Mailing address
100 SOUTH ST, SOUTHBRIDGE, MA 01550-4051
(508) 765-9771
(508) 909-7709
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
70603
MA
2084P0804X
Child & Adolescent Psychiatry Physician
70603
MA
Other
Enumeration date
12/05/2006
Last updated
01/12/2012
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