Provider Demographics
NPI:1891962171
Name:TOMCZAK, KINGA (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:KINGA
Middle Name:
Last Name:TOMCZAK
Suffix:
Gender:F
Credentials:MD, PHD
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Other - Credentials:
Mailing Address - Street 1:1 BOSTON MEDICAL CTR PL
Mailing Address - Street 2:DOWLING - 3 SOUTH
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-2908
Mailing Address - Country:US
Mailing Address - Phone:617-414-4501
Mailing Address - Fax:617-414-4502
Practice Address - Street 1:1 BOSTON MEDICAL CTR PL
Practice Address - Street 2:DOWLING - 3 SOUTH
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-2908
Practice Address - Country:US
Practice Address - Phone:617-414-4501
Practice Address - Fax:617-414-4502
Is Sole Proprietor?:No
Enumeration Date:2008-05-15
Last Update Date:2013-05-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA2537052084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology