Provider Demographics
NPI:1891183521
Name:TAMURA, CHIEKO (CGC)
Entity Type:Individual
Prefix:
First Name:CHIEKO
Middle Name:
Last Name:TAMURA
Suffix:
Gender:F
Credentials:CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2-1-7 KANDA-AWAJICHO, CHIYODA-KU
Mailing Address - Street 2:NCO KANDA-AWAJICHO BDG. 7F, FETAL MEDICINE CLINIC TOKYO
Mailing Address - City:TOKYO
Mailing Address - State:TOKYO
Mailing Address - Zip Code:1010063
Mailing Address - Country:JP
Mailing Address - Phone:8136-206-8216
Mailing Address - Fax:8136-206-8217
Practice Address - Street 1:2-1-7 KANDA-AWAJICHO, CHIYODA-KU
Practice Address - Street 2:NCO KANDA-AWAJICHO BDG. 7F, FETAL MEDICINE CLINIC TOKYO
Practice Address - City:TOKYO
Practice Address - State:TOKYO
Practice Address - Zip Code:1010063
Practice Address - Country:JP
Practice Address - Phone:8136-206-8216
Practice Address - Fax:8136-206-8217
Is Sole Proprietor?:No
Enumeration Date:2015-01-05
Last Update Date:2015-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS