Organization
ELLIOT PHYSICIANS NETWORK
Active
Parent organization
ELLIOT PHYSICIANS NETWORK
Other names
Elliot Hampshire Pediatrics
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELLIOT PHYSICIANS NETWORK
Authorized official
RICHARD HERMAN (DIRECTOR OF OPERATIONS & FINANCE)
(603) 663-4904
Entity
Organization
Contact information
Practice address
113 MAMMOTH RD, ELLIOT HAMPSHIRE PEDIATRICS, MANCHESTER, NH 03109-4337
(603) 623-2229
(603) 626-8016
Mailing address
113 MAMMOTH RD, ELLIOT HAMPSHIRE PEDIATRICS, MANCHESTER, NH 03109-4337
(603) 623-2229
(603) 626-8016
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30215237
—
NH
01
—
CG2227
RR MEDICARE
NH
Enumeration date
07/18/2007
Last updated
06/20/2008
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