Individual
NATALIE DIACOVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
236 HIGHLAND AVE, SOMERVILLE, MA 02143-1495
(617) 591-4440
Mailing address
2 SAINT PAUL ST APT 1, CAMBRIDGE, MA 02139-2553
(914) 484-7732
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
291580
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2019
Last updated
07/09/2022
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