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Organization

ELLIOT PROFESSIONAL SERVICES

Active
Parent organization
ELLIOT PROFESSIONAL SERVICES
Other names
Elliot Maternal Fetal Medicine
Organization subpart
Yes

Provider details

NPI number
Legal business name
ELLIOT PROFESSIONAL SERVICES
Authorized official
RICHARD P HERMAN (DIRECTOR OF OPERATION & FINANCE)
(603) 663-4904
Entity
Organization

Contact information

Practice address
1 ELLIOT WAY, ELLIOT MATERNAL FETAL MEDICINE, MANCHESTER, NH 03103-3502
(603) 663-3390
(603) 663-3386
Mailing address
1 ELLIOT WAY, ELLIOT MATERNAL FETAL MEDICINE, MANCHESTER, NH 03103-3502
(603) 663-3390
(603) 663-3386

Taxonomy

Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary

Other

Enumeration date
04/23/2012
Last updated
04/23/2012
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