# ELLIOT PHYSICIANS NETWORK

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ELLIOT PHYSICIANS NETWORK
- **Other names:** Elliot Family Medicine at Windham
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1770718280
- **Legal business name:** ELLIOT PHYSICIANS NETWORK
- **Authorized official:** RICHARD P HERMAN (DIRECTOR OF OPERATION & FINANCE)
- **Authorized official phone:** (603) 663-4904

## Contact information

- **Practice address:** 5 INDUSTRIAL DRIVE, UNIT B, WINDHAM, NH 03087-2026
- **Practice address phone:** (603) 894-0063
- **Practice address fax:** (603) 894-9727
- **Mailing address:** 5 INDUSTRIAL DRIVE, UNIT B, WINDHAM, NH 03087-2026
- **Mailing address phone:** (603) 894-0063
- **Mailing address fax:** (603) 894-9727

## Taxonomy

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

## Other

- **Enumeration date:** 05/28/2009
- **Last updated:** 05/03/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | RE5600 | MEDICARE GROUP | NH |