Provider Demographics
NPI:1023092632
Name:OLAFSSON, ANDRI GAUKUR (MD)
Entity type:Individual
Prefix:DR
First Name:ANDRI
Middle Name:GAUKUR
Last Name:OLAFSSON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:59 PAGE HILL RD
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:NH
Mailing Address - Zip Code:03570-3531
Mailing Address - Country:US
Mailing Address - Phone:603-752-2200
Mailing Address - Fax:603-326-5832
Practice Address - Street 1:7 PAGE HILL RD
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:NH
Practice Address - Zip Code:03570-3531
Practice Address - Country:US
Practice Address - Phone:603-752-7750
Practice Address - Fax:603-326-5832
Is Sole Proprietor?:No
Enumeration Date:2005-12-06
Last Update Date:2014-01-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2005-01849208600000X
NH10369208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHRE7915Medicare PIN
NHG80305Medicare UPIN