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Organization
ELLIOT PROFESSIONAL SERVICES
Active
Organization
ELLIOT PROFESSIONAL SERVICES
Active
Parent organization
ELLIOT PROFESSIONAL SERVICES
Other names
ELLIOT GASTROENTEROLOGY
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELLIOT PROFESSIONAL SERVICES
Authorized official
RICHARD P HERMAN (DIRECTOR OF OPERATIONS & FINANCE)
(603) 663-4904
Entity
Organization
Contact information
Practice address
185 QUEEN CITY AVE, ELLIOT GASTROENTEROLOGY, MANCHESTER, NH 03101-7100
(603) 314-6900
(603) 314-6909
Mailing address
185 QUEEN CITY AVE, ELLIOT GASTROENTEROLOGY, MANCHESTER, NH 03101-7100
(603) 314-6900
(603) 314-6909
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
NULL
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
08/18/2010
Last updated
04/01/2011
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