MEDICARE: DR. NATALIE SAVICH KOMAISZKO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	047812	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	010080331MA01	OTHER		ANTHEM BCBS
2	347460	OTHER	NH	HEALTHSOURCE
3	000000008142	OTHER		BOSTON MED CENTER HEALTHN
4	201048	OTHER		HARVARD PILGRIM
5	975890	OTHER		NETWORK HEALTH
6	16213	OTHER		HEALTH NEW ENGLAND
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	347460	OTHER	MA	HEALTHSOURCE
9	521349	OTHER		AETNA USHC
10	080331	OTHER		TUFTS
11	707722	OTHER		CONNECTICARE
12	101298	OTHER		CIGNA
13	33004	OTHER		CHILDRENS MEDICAL SECURIT
14	J16283	OTHER		BCBS
15	1240477	OTHER		UNITED HEALTHCARE

General Provider Information

NPI Number	:	1386630291
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NATALIE SAVICH KOMAISZKO MD

Provider Business Mailing Address
First Line	:	1080 DAY HILL RD
Second Line	:	SUITE 104
City	:	WINDSOR
State	:	CT
Zip	:	06095-1781
Country	:	US
Telephone Number	:	860-285-8017
Fax Number	:	860-688-5729

Provider Business Practice Location Address
First Line	:	1080 DAY HILL RD
Second Line	:	SUITE 104
City	:	WINDSOR
State	:	CT
Zip	:	06095-1781
Country	:	US
Telephone Number	:	860-285-8017
Fax Number	:	860-688-5729

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2005
Last Update Date	:	03/07/2023

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