Organization
ELLIOT PHYSICIANS NETWORK
Active
Parent organization
ELLIOT PHYSICIANS NETWORK
Other names
Elliot Family Medicine at Bedford Commons
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELLIOT PHYSICIANS NETWORK
Authorized official
RICHARD P. HERMAN (DIRECTOR OF OPERATIONS & FINANCE)
(603) 663-5766
Entity
Organization
Contact information
Practice address
25 S RIVER RD, ELLIOT FAMILY MEDICINE AT BEDFORD COMMONS, BEDFORD, NH 03110-6708
(603) 626-4392
(603) 626-4462
Mailing address
25 S RIVER RD, ELLIOT FAMILY MEDICINE AT BEDFORD COMMONS, BEDFORD, NH 03110-6708
(603) 626-4392
(603) 626-4462
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30210986
—
NH
01
—
CG2227
RR MEDICARE GROUP #
—
Enumeration date
10/28/2005
Last updated
06/20/2008
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