Provider Demographics
NPI:1831070424
Name:TAWDROUS, RANIA MICHELLE (PA-C)
Entity type:Individual
Prefix:
First Name:RANIA
Middle Name:MICHELLE
Last Name:TAWDROUS
Suffix:
Gender:F
Credentials:PA-C
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Other - Credentials:
Mailing Address - Street 1:331 NEWMAN SPRINGS RD STE 220
Mailing Address - Street 2:
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-5792
Mailing Address - Country:US
Mailing Address - Phone:732-807-0877
Mailing Address - Fax:201-751-1680
Practice Address - Street 1:1301 ROUTE 72 W STE 300
Practice Address - Street 2:
Practice Address - City:MANAHAWKIN
Practice Address - State:NJ
Practice Address - Zip Code:08050-2483
Practice Address - Country:US
Practice Address - Phone:609-597-6513
Practice Address - Fax:609-597-4593
Is Sole Proprietor?:No
Enumeration Date:2025-09-10
Last Update Date:2025-09-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MP00961400363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant