Basic Information
Provider Information
NPI: 1043474034
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AOYAGI
FirstName: YUKI
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D., M.P.H., M.A.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1 ROPE FERRY RD
Address2:  
City: HANOVER
State: NH
PostalCode: 037551421
CountryCode: US
TelephoneNumber: 6036506063
FaxNumber: 6036501202
Practice Location
Address1: 1 MEDICAL CENTER DR
Address2:  
City: LEBANON
State: NH
PostalCode: 037561000
CountryCode: US
TelephoneNumber: 6036506060
FaxNumber: 6036506110
Other Information
ProviderEnumerationDate: 07/18/2008
LastUpdateDate: 06/24/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RI0200X14786NHY Allopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
207R00000X14786NHN Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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