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Organization

ELLIOT PROFESSIONAL SERVICES

Active
Parent organization
ELLIOT PROFESSIONAL SERVICES
Other names
Elliot Endocrinology Associates
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
445 CYPRESS ST STE 7, ELLIOT ENDOCRINOLOGY ASSOCIATES, MANCHESTER, NH 03103-3600
(603) 663-3740
(603) 663-3749
Mailing address
445 CYPRESS ST STE 7, ELLIOT ENDOCRINOLOGY ASSOCIATES, MANCHESTER, NH 03103-3600
(603) 663-3740
(603) 663-3749

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CK3360
RR MEDICARE GROUP
05
PENDING
NH
01
RE6661
MEDICARE GROUP
Enumeration date
05/09/2008
Last updated
06/20/2008
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