Organization
ELLIOT PHYSICIANS NETWORK
Active
Organization
ELLIOT PHYSICIANS NETWORK
Active
Parent organization
ELLIOT PHYSICIANS NETWORK
Other names
Elliot Pediatrics and Primary Care at Riverside
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELLIOT PHYSICIANS NETWORK
Authorized official
RICHARD P. HERMAN (DIRECTOR OF OPERATIONS & FINANCE)
(603) 663-4904
Entity
Organization
Contact information
Practice address
11 KIMBALL DR, ELLIOT PEDIATRICS AND PRIMARY CARE AT RIVERSIDE, HOOKSETT, NH 03106-2603
(603) 641-5386
(603) 641-5387
Mailing address
11 KIMBALL DR, ELLIOT PEDIATRICS AND PRIMARY CARE AT RIVERSIDE, HOOKSETT, NH 03106-2603
(603) 641-5386
(603) 641-5387
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30211437
—
NH
01
—
CG2227
RR MEDICARE GROUP #
NH
Enumeration date
11/07/2005
Last updated
06/20/2008
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