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Individual

MITSUO MATSUOKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 MEDICAL CENTER DR, DHMC, DEPARTMENT OF MEDICINE, SECTION OF PULMONARY, LEBANON, NH 03756-1000
(603) 650-5000
Mailing address
215 N MAIN ST, WHITE RIVER JUNCTION, VT 05009-0001
(802) 295-9363
(802) 291-6257

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
13598
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1013908
VT
05
30207190
NH
Enumeration date
07/16/2007
Last updated
05/04/2023
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