Organization
ELLIOT PHYSICIANS NETWORK
Active
Organization
ELLIOT PHYSICIANS NETWORK
Active
Parent organization
ELLIOT PHYSICIANS NETWORK
Other names
Elliot Pediatrics and Primary Care at Raymond
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELLIOT PHYSICIANS NETWORK
Authorized official
RICHARD P. HERMAN (DIRECTOR OF OPERATIONS & FINANCE)
(603) 663-4904
Entity
Organization
Contact information
Practice address
15 FREETOWN RD, ELLIOT PEDIATRICS AND PRIMARY CARE AT RAYMOND, RAYMOND, NH 03077-2358
(603) 895-8000
(603) 895-8099
Mailing address
15 FREETOWN RD, ELLIOT PEDIATRICS AND PRIMARY CARE AT RAYMOND, RAYMOND, NH 03077-2358
(603) 895-8000
(603) 895-8099
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30211870
—
NH
01
—
CG2227
RR MEDICARE GROUP #
NH
Enumeration date
10/31/2005
Last updated
03/16/2009
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