Healthcare Provider Details

I. General information

NPI: 1295818854
Provider Name (Legal Business Name): ANDREA L WESTINGHOUSE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 07/23/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

166 PLAISTOW RD UNIT 104
PLAISTOW NH
03865-2843
US

IV. Provider business mailing address

7 HOLLAND WAY FL 1
EXETER NH
03833-2937
US

V. Phone/Fax

Practice location:
  • Phone: 603-257-4000
  • Fax: 603-378-0938
Mailing address:
  • Phone: 603-257-4000
  • Fax: 603-378-0938

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number14670
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: