Provider Demographics
NPI:1336180975
Name:CHAMBERS, NATALIE L (MD, PC)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:L
Last Name:CHAMBERS
Suffix:
Gender:F
Credentials:MD, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2050
Mailing Address - Street 2:
Mailing Address - City:NORTH FALMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02556-8050
Mailing Address - Country:US
Mailing Address - Phone:508-563-2690
Mailing Address - Fax:508-563-2698
Practice Address - Street 1:31 EDGERTON DRIVE
Practice Address - Street 2:
Practice Address - City:NORTH FALMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02556-8050
Practice Address - Country:US
Practice Address - Phone:508-563-2690
Practice Address - Fax:508-563-2698
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-08
Last Update Date:2011-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA208990207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAUNITED HEALTHCAREOther0103657
MA208990OtherTUFTS HEALTH PLAN
MA0137421Medicaid
MAJ23532OtherBLUE CROSS BLUE SHIELD MA
MA000000030265OtherBMC HEALTHNET
MA711503OtherHARVARD PILGRIM
MAUS FAMILY HEALTH PLAOther457010
MAG34784Medicare UPIN
MAA32228Medicare ID - Type UnspecifiedMEDICARE