Healthcare Provider Details

I. General information

NPI: 1043474034
Provider Name (Legal Business Name): YUKI AOYAGI M.D., M.P.H., M.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2008
Last Update Date: 06/24/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MEDICAL CENTER DR
LEBANON NH
03756-1000
US

IV. Provider business mailing address

1 ROPE FERRY RD
HANOVER NH
03755-1421
US

V. Phone/Fax

Practice location:
  • Phone: 603-650-6060
  • Fax: 603-650-6110
Mailing address:
  • Phone: 603-650-6063
  • Fax: 603-650-1202

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number14786
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number14786
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: