Provider Demographics
NPI:1053406223
Name:KALPAKGIAN, ARAM (PA)
Entity type:Individual
Prefix:
First Name:ARAM
Middle Name:
Last Name:KALPAKGIAN
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2150
Mailing Address - Street 2:
Mailing Address - City:NEW LONDON
Mailing Address - State:NH
Mailing Address - Zip Code:03257-2150
Mailing Address - Country:US
Mailing Address - Phone:603-526-5167
Mailing Address - Fax:603-526-5085
Practice Address - Street 1:273 COUNTY ROAD
Practice Address - Street 2:
Practice Address - City:NEW LONDON
Practice Address - State:NH
Practice Address - Zip Code:03257
Practice Address - Country:US
Practice Address - Phone:603-526-2911
Practice Address - Fax:603-526-5085
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2011-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0467P363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30332526Medicaid
NH30332526Medicaid
NHAP2428Medicare ID - Type UnspecifiedMEDICARE B ID