Organization
ELLIOT PROFESSIONAL SERVICES
Active
Organization
ELLIOT PROFESSIONAL SERVICES
Active
Parent organization
ELLIOT PROFESSIONAL SERVICES
Other names
Elliot Pediatric Nephrology and Integrative Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELLIOT PROFESSIONAL SERVICES
Authorized official
RICHARD P HERMAN (DIRECTOR OF OPERATIONS & FINANCE)
(603) 663-4904
Entity
Organization
Contact information
Practice address
275 MAMMOTH RD STE 1, ELLIOT PEDIATRIC NEPHROLOGY & INTEGRATIVE MEDICINE, MANCHESTER, NH 03109-4133
(603) 663-3222
(603) 663-3229
Mailing address
275 MAMMOTH RD STE 1, ELLIOT PEDIATRIC NEPHROLOGY & INTEGRATIVE MEDICINE, MANCHESTER, NH 03109-4133
(603) 663-3222
(603) 663-3229
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
—
—
Other
Enumeration date
08/16/2011
Last updated
08/16/2011
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