Organization
ELLIOT PROFESSIONAL SERVICES
Active
Parent organization
ELLIOT PROFESSIONAL S ERVICES
Other names
Greater Amherst Imaging
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELLIOT PROFESSIONAL S ERVICES
Authorized official
RICHARD P. HERMAN (DIRECTOR OF OPERATION & FINANCE)
(603) 663-4904
Entity
Organization
Contact information
Practice address
MEETING PLACE PLAZA 199 - ROUTE 101, GREATER AMHERST IMAGING, AMHERST, NH 03031
(603) 249-3000
(603) 249-3021
Mailing address
MEETING PLACE PLAZA 199 - ROUTE 101, GREATER AMHERST IMAGING, AMHERST, NH 03031
(603) 249-3000
(603) 249-3021
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15Y002259NH02
ANTHEM GRP
NH
05
—
30812256
—
NH
01
—
3206971
AETNA GRP
NH
01
—
60146303
W/C DOL GRP
NH
01
—
626438
HPHC GRP
NH
01
—
667222
CIGNA GRP
NH
01
—
P00009327
RR MEDICARE GRP
NH
Enumeration date
02/23/2006
Last updated
07/08/2008
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