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Organization
ELLIOT PHYSICIANS NETWORK
Active
Organization
ELLIOT PHYSICIANS NETWORK
Active
Parent organization
ELLIOT PHYSICIANS NETWORK
Other names
Elliot Family Medicine at Windham
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELLIOT PHYSICIANS NETWORK
Authorized official
RICHARD P HERMAN (DIRECTOR OF OPERATION & FINANCE)
(603) 663-4904
Entity
Organization
Contact information
Practice address
5 INDUSTRIAL DRIVE, UNIT B, WINDHAM, NH 03087-2026
(603) 894-0063
(603) 894-9727
Mailing address
5 INDUSTRIAL DRIVE, UNIT B, WINDHAM, NH 03087-2026
(603) 894-0063
(603) 894-9727
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RE5600
MEDICARE GROUP
NH
Enumeration date
05/28/2009
Last updated
05/03/2011
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