Provider Demographics
NPI:1871938704
Name:RUGEL, JASON (DO)
Entity type:Individual
Prefix:DR
First Name:JASON
Middle Name:
Last Name:RUGEL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 PINEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:ALLENSTOWN
Mailing Address - State:NH
Mailing Address - Zip Code:03275-2366
Mailing Address - Country:US
Mailing Address - Phone:603-485-7861
Mailing Address - Fax:603-485-2437
Practice Address - Street 1:50 PINEWOOD RD
Practice Address - Street 2:
Practice Address - City:ALLENSTOWN
Practice Address - State:NH
Practice Address - Zip Code:03275-2366
Practice Address - Country:US
Practice Address - Phone:603-485-7861
Practice Address - Fax:603-485-2437
Is Sole Proprietor?:No
Enumeration Date:2013-05-06
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY288170207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine