Organization
ELLIOT PHYSICIANS NETWORK
Active
Organization
ELLIOT PHYSICIANS NETWORK
Active
Parent organization
ELLIOT PHYSICIANS NETWORK
Other names
Elliot Internal Medicine at Londonderry
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELLIOT PHYSICIANS NETWORK
Authorized official
RICHARD P. HERMAN (DIRECTOR OF OPERATIONS & FINANCE)
(603) 434-1919
Entity
Organization
Contact information
Practice address
40 BUTTRICK RD, ELLIOT INTERNAL MEDICINE AT LONDONDERRY, LONDONDERRY, NH 03053-3381
(603) 434-1919
(603) 434-7346
Mailing address
40 BUTTRICK RD, ELLIOT INTERNAL MEDICINE AT LONDONDERRY, LONDONDERRY, NH 03053-3381
(603) 434-1919
(603) 434-7346
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30216283
—
NH
01
—
CG2227
RR MEDICARE
NH
Enumeration date
11/30/2007
Last updated
06/20/2008
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