Provider Demographics
NPI:1508220773
Name:OJEDA, VIVIAN (MPH)
Entity Type:Individual
Prefix:
First Name:VIVIAN
Middle Name:
Last Name:OJEDA
Suffix:
Gender:F
Credentials:MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:246 PLEASANT ST.
Mailing Address - Street 2:MEMORIAL BUILDING, WEST, FLOOR 1
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-2548
Mailing Address - Country:US
Mailing Address - Phone:603-228-1111
Mailing Address - Fax:603-227-7558
Practice Address - Street 1:246 PLEASANT ST,
Practice Address - Street 2:MEMORAIL BUILDING, WEST, FLOOR 1
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-2548
Practice Address - Country:US
Practice Address - Phone:603-228-1111
Practice Address - Fax:603-227-7558
Is Sole Proprietor?:No
Enumeration Date:2016-04-13
Last Update Date:2020-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH20745207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology