Provider Demographics
NPI:1699070995
Name:ADVANCED HEALTH AND WELLBEING
Entity type:Organization
Organization Name:ADVANCED HEALTH AND WELLBEING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARGARITA
Authorized Official - Middle Name:R
Authorized Official - Last Name:OCHOA MAYA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:603-606-1611
Mailing Address - Street 1:196 BRIDGE ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03104-4953
Mailing Address - Country:US
Mailing Address - Phone:603-606-1611
Mailing Address - Fax:603-518-5699
Practice Address - Street 1:196 BRIDGE ST
Practice Address - Street 2:SUITE 103
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03104-4953
Practice Address - Country:US
Practice Address - Phone:603-606-1611
Practice Address - Fax:603-518-5699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-18
Last Update Date:2011-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH13263207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty