Provider Demographics
NPI:1174822738
Name:CIOMEK, NATALIE ANNABELLE (MD)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:ANNABELLE
Last Name:CIOMEK
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:960 MASSACHUSETTS AVENUE
Mailing Address - Street 2:FL 2
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-2690
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:670 ALBANY STREET
Practice Address - Street 2:SUITE 304
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-2646
Practice Address - Country:US
Practice Address - Phone:617-414-4291
Practice Address - Fax:617-414-5315
Is Sole Proprietor?:No
Enumeration Date:2011-03-22
Last Update Date:2025-04-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA270668207ZH0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No207ZH0000XAllopathic & Osteopathic PhysiciansPathologyHematology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110124273AMedicaid