Organization
ELLIOT PROFESSIONAL SERVICES
Active
Parent organization
ELLIOT PROFESSIONAL SERVICES
Other names
Elliot Urgent Care at Londonderry
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
40 BUTTRICK RD, ELLIOT URGENT CARE CENTER, LONDONDERRY, NH 03053-3381
(603) 552-1550
(603) 552-1599
Mailing address
40 BUTTRICK RD, ELLIOT URGENT CARE CENTER, LONDONDERRY, NH 03053-3381
(603) 552-1550
(603) 552-1599
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30214693
—
NH
01
—
CK3360
RR MEDICARE
NH
Enumeration date
09/13/2007
Last updated
06/20/2008
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