Healthcare Provider Details

I. General information

NPI: 1871938704
Provider Name (Legal Business Name): JASON RUGEL DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2013
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 PINEWOOD RD
ALLENSTOWN NH
03275-2366
US

IV. Provider business mailing address

50 PINEWOOD RD
ALLENSTOWN NH
03275-2366
US

V. Phone/Fax

Practice location:
  • Phone: 603-485-7861
  • Fax: 603-485-2437
Mailing address:
  • Phone: 603-485-7861
  • Fax: 603-485-2437

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number288170
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: