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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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