Organization
ELLIOT PROFESSIONAL SERVICES
Active
Parent organization
ELLIOT PROFESSIONAL SERVICES
Other names
Hospitalist Program
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
ONE ELLIOT WAY, HOSPITALIST PROGRAM, MANCHESTER, NH 03103
(603) 663-2271
(603) 663-2273
Mailing address
ONE ELLIOT WAY, HOSPITALIST PROGRAM, MANCHESTER, NH 03103
(603) 663-2271
(603) 663-2273
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30212522
—
NH
01
—
CK3360
RR MEDICARE GRP
NH
Enumeration date
02/23/2006
Last updated
06/20/2008
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