# CENTER FOR FUNCTIONAL MEDICINE & WELLBEING LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Center for Wellbeing
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336764026
- **Authorized official:** DR. JEFFREY DONATELLO DO (OWNER)
- **Authorized official phone:** (207) 451-7438

## Contact information

- **Practice address:** 3201 LAFAYETTE RD, PORTSMOUTH, NH 03801-6078
- **Practice address phone:** (603) 380-9159
- **Mailing address:** 3201 LAFAYETTE RD, PORTSMOUTH, NH 03801-6078
- **Mailing address phone:** (603) 380-9159

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | NULL | Yes |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 06/09/2020
- **Last updated:** 07/27/2020