# ELLIOT PHYSICIANS NETWORK

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831191659
- **Authorized official:** RICHARD P. HERMAN (DIRECTOR OF OPERATIONS & FINANCE)
- **Authorized official phone:** (603) 663-4904

## Contact information

- **Practice address:** 1070 HOLT AVENUE, UNIT 1 SUITE 2200, MANCHESTER, NH 03109
- **Practice address phone:** (603) 663-4900
- **Practice address fax:** (603) 663-4984
- **Mailing address:** 1070 HOLT AVE, UNIT 1 SUITE 2200, MANCHESTER, NH 03109-5603
- **Mailing address phone:** (603) 663-4900
- **Mailing address fax:** (603) 663-4984

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NH | Yes |
| 207R00000X | Internal Medicine Physician | — | NH | — |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | — | NH | — |
| 208000000X | Pediatrics Physician | — | NH | — |
| 261QU0200X | Urgent Care Clinic/Center | 03977 | NH | — |

## Other

- **Enumeration date:** 08/11/2005
- **Last updated:** 06/30/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | CG2227 | RR MEDICARE GROUP \# | NH |