Organization
ELLIOT PROFESSIONAL SERVICES
Active
Parent organization
ELLIOT PROFESSIONAL SERVICES
Other names
Elliot Pediatric Gastroenterology
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
275 MAMMOTH RD, SUITE 1, ELLIOT PEDIATRIC GASTROENTEROLOGY, MANCHESTER, NH 03109-4126
(603) 663-3222
(603) 663-3229
Mailing address
275 MAMMOTH RD, SUITE 1, ELLIOT PEDIATRIC GASTROENTEROLOGY, MANCHESTER, NH 03109-4126
(603) 663-3222
(603) 663-3229
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
—
—
Other
Enumeration date
04/01/2011
Last updated
04/01/2011
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