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Organization

ELLIOT PROFESSIONAL SERVICES

Active
Parent organization
ELLIOT PROFESSIONAL SERVICES
Other names
Elliot Rheumatology Associates
Organization subpart
Yes

Provider details

NPI number
Legal business name
ELLIOT PROFESSIONAL SERVICES
Authorized official
RICHARD P HERMAN (DIRECTOR OF OPERATION & FINANCE)
(603) 663-4904
Entity
Organization

Contact information

Practice address
185 QUEEN CITY AVE, ELLIOT RHEUMATOLOGY ASSOCIATES, MANCHESTER, NH 03101-7121
(603) 625-1655
(603) 626-4686
Mailing address
185 QUEEN CITY AVE, ELLIOT RHEUMATOLOGY ASSOCIATES, MANCHESTER, NH 03101-7121
(603) 625-1655
(603) 626-4686

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary

Other

Enumeration date
11/16/2011
Last updated
11/16/2011
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