# ELLIOT PHYSICIAN NETWORK

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ELLIOT PHYSICIAN NETWORK
- **Other names:** Elliot Family Medicine at East Manchester
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1184857641
- **Legal business name:** ELLIOT PHYSICIAN NETWORK
- **Authorized official:** RICHARD P HERMAN (DIRECTOR OF OPERATIONS & FINANCE)
- **Authorized official phone:** (603) 663-4904

## Contact information

- **Practice address:** 345 CILLEY RD, ELLIOT FAMILY MEDICINE AT EAST MANCHESTER, MANCHESTER, NH 03103-4500
- **Practice address phone:** (603) 606-6977
- **Practice address fax:** (603) 606-6983
- **Mailing address:** 345 CILLEY RD, ELLIOT FAMILY MEDICINE AT EAST MANCHESTER, MANCHESTER, NH 03103-4500
- **Mailing address phone:** (603) 606-6977
- **Mailing address fax:** (603) 606-6983

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/01/2009
- **Last updated:** 09/01/2009