Provider Demographics
NPI:1386630291
Name:KOMAISZKO, NATALIE SAVICH (MD)
Entity type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:SAVICH
Last Name:KOMAISZKO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:NATALIE
Other - Middle Name:
Other - Last Name:SAVICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1080 DAY HILL RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:WINDSOR
Mailing Address - State:CT
Mailing Address - Zip Code:06095-1781
Mailing Address - Country:US
Mailing Address - Phone:860-285-8017
Mailing Address - Fax:860-688-5729
Practice Address - Street 1:1080 DAY HILL RD
Practice Address - Street 2:SUITE 104
Practice Address - City:WINDSOR
Practice Address - State:CT
Practice Address - Zip Code:06095-1781
Practice Address - Country:US
Practice Address - Phone:860-285-8017
Practice Address - Fax:860-688-5729
Is Sole Proprietor?:No
Enumeration Date:2005-09-26
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT047812208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
010080331MA01OtherANTHEM BCBS
NH347460OtherHEALTHSOURCE
000000008142OtherBOSTON MED CENTER HEALTHN
201048OtherHARVARD PILGRIM
975890OtherNETWORK HEALTH
16213OtherHEALTH NEW ENGLAND
MA3145115Medicaid
MA347460OtherHEALTHSOURCE
521349OtherAETNA USHC
080331OtherTUFTS
707722OtherCONNECTICARE
101298OtherCIGNA
33004OtherCHILDRENS MEDICAL SECURIT
J16283OtherBCBS
1240477OtherUNITED HEALTHCARE
1240477OtherUNITED HEALTHCARE
NH347460OtherHEALTHSOURCE