Organization
ELLIOT PROFESSIONAL SERVICES
Active
Parent organization
ELLIOT PROFESSIONAL SERVICES
Other names
Elliot Palliative Care Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELLIOT PROFESSIONAL SERVICES
Authorized official
RICHARD P. HERMAN (DIRECTOR OF OPERATIONS AND FINANCE)
(603) 663-4904
Entity
Organization
Contact information
Practice address
33 S COMMERCIAL ST STE 401, ELLIOT PALLIATIVE CARE SERVICES, MANCHESTER, NH 03101-2626
(603) 622-3781
(603) 663-4070
Mailing address
33 S COMMERCIAL ST STE 401, ELLIOT PALLIATIVE CARE SERVICES, MANCHESTER, NH 03101-2626
(603) 622-3781
(603) 663-4070
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30216263
—
NH
01
—
CK3360
RR MEDICARE
—
Enumeration date
12/04/2007
Last updated
06/20/2008
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