Organization
ELLIOT PROFESSIONAL SERVICES
Active
Parent organization
ELLIOT PROFESSIONAL SERVICES
Other names
Elliot Pediatric Neurology
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
275 MAMMOTH RD STE 1, ELLIOT PEDIATRIC NEUROLOGY, MANCHESTER, NH 03109-4133
(603) 663-3222
(603) 663-3229
Mailing address
275 MAMMOTH RD STE 1, ELLIOT PEDIATRIC NEUROLOGY, MANCHESTER, NH 03109-4133
(603) 663-3222
(603) 663-3229
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
—
—
Other
Enumeration date
10/05/2010
Last updated
05/11/2011
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