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Organization

ELLIOT PROFESSIONAL SERVICES

Active
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Organization

ELLIOT PROFESSIONAL SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD P. HERMAN (DIRECTOR OF OPERATIONS & FINANCE)
(603) 663-4904
Entity
Organization

Contact information

Practice address
1070 HOLT AVE, UNIT 1, SUITE 2200, MANCHESTER, NH 03109-5603
(603) 663-4900
(603) 663-4984
Mailing address
PO BOX 9659, MANCHESTER, NH 03108-9659
(603) 663-4900
(603) 663-4984

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
207R00000X
Internal Medicine Physician
Primary
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
207RP1001X
Pulmonary Disease Physician
2080N0001X
Neonatal-Perinatal Medicine Physician
208200000X
Plastic Surgery Physician
2084P0800X
Psychiatry Physician
2084P0804X
Child & Adolescent Psychiatry Physician
2086S0120X
Pediatric Surgery Physician
208M00000X
Hospitalist Physician
208VP0000X
Pain Medicine Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CK3360
RR MEDICARE GROUP #
NH
Enumeration date
08/29/2005
Last updated
06/30/2026
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