Search › New Jersey › 363L00000X
Tatia Khardziani
NPI 1942164520 · on the registry since 2025
Practice
- Address
- 5 Squire Dr
Lincoln Park, NJ 07035 - Phone
- (862) 591-8370
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-12-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey