Healthcare Provider Details

I. General information

NPI: 1730248592
Provider Name (Legal Business Name): NATACHA VILLAMIA SOCHAT M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/07/2006
Last Update Date: 12/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

358 QUAKER ST
WEARE NH
03281-4541
US

IV. Provider business mailing address

358 QUAKER ST
WEARE NH
03281-4541
US

V. Phone/Fax

Practice location:
  • Phone: 603-529-5907
  • Fax:
Mailing address:
  • Phone: 603-529-5907
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number56906
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: