# ELLIOT PROFESSIONAL SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ELLIOT PROFESSIONAL SERVICES
- **Other names:** Elliot Obstetrics and Gynecology
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1780975953
- **Legal business name:** ELLIOT PROFESSIONAL SERVICES
- **Authorized official:** RICHARD P HERMAN (DIRECTOR OF OPERATIONS & FINANCE)
- **Authorized official phone:** (603) 663-4904

## Contact information

- **Practice address:** 15 NELSON ST FL 2, ELLIOT OBSTETRICS AND GYNECOLOGY, MANCHESTER, NH 03103-2706
- **Practice address phone:** (603) 624-8491
- **Practice address fax:** (603) 625-1622
- **Mailing address:** 15 NELSON ST FL 2, ELLIOT OBSTETRICS AND GYNECOLOGY, MANCHESTER, NH 03103-2706
- **Mailing address phone:** (603) 624-8491
- **Mailing address fax:** (603) 625-1622

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/22/2011
- **Last updated:** 04/22/2011