Individual
TINA VRIDHACHALAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 15TH ST FL 2R, HOBOKEN, NJ 07030-3429
(201) 482-9770
Mailing address
3286 41ST ST APT 3A, ASTORIA, NY 11103-3501
(646) 755-0035
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA11800700
NJ
Other
Enumeration date
04/06/2020
Last updated
04/24/2025
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