Individual
NATALIE MACDISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
114 WOODLAND ST, HARTFORD, CT 06105-1208
(757) 282-7777
Mailing address
4149 CHESWICK LN, VIRGINIA BEACH, VA 23455-6560
(757) 282-9777
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/22/2021
Last updated
04/22/2021
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