Provider Demographics
NPI:1215902846
Name:OSORIO, NATALIE G (MD)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:G
Last Name:OSORIO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:5 NEPONSET ST FL STREET2
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01606-2714
Mailing Address - Country:US
Mailing Address - Phone:508-721-1170
Mailing Address - Fax:508-832-0859
Practice Address - Street 1:385 SOUTHBRIDGE ST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:MA
Practice Address - Zip Code:01501-2498
Practice Address - Country:US
Practice Address - Phone:508-856-0732
Practice Address - Fax:508-832-0859
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2019-03-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA223905207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
86469OtherCHILDRENS MEDICAL SECURIT
A38477OtherMEDICARE B
J28868OtherBLUE CARE ELECT
042472266OtherONE HEALTH PLAN
042472266OtherTRICARE CHAMPUS
2101777OtherMEDICAID WELFARE
788831OtherMVP HEALTH CARE
92433OtherFALLON COMMUNITY HEALTH P
042472266OtherPRIVATE HEALTHCARE SYSTEM
5628673OtherFIRST HEALTH
6668714OtherCIGNA HEALTH PLAN
AA33666OtherHARVARD PILGRIM HEALTHCAR
MA2101777Medicaid
042472266OtherUNITED HEALTHCARE
1089139OtherAETNA US HEALTHCARE
468321OtherTUFTS HEALTH PLAN
5628673OtherFIRST HEALTH
86469OtherCHILDRENS MEDICAL SECURIT