Organization
ELLIOT PROFESSIONAL SERVICES
Active
Parent organization
ELLIOT PROFESSIONAL SERVICES
Other names
Elliot Neurology Associates
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 NEUROLOGY ASSOCIATES, MANCHESTER, NH 03101-7100
(603) 669-0859
(603) 644-3391
Mailing address
185 QUEEN CITY AVE, ELLIOT NEUROLOGY ASSOCIATES, MANCHESTER, NH 03101-7100
(603) 669-0859
(603) 644-3391
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CK3360
RR MEDICARE
NH
Enumeration date
06/25/2008
Last updated
03/18/2011
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