Organization
ELLIOT PROFESSIONAL SERVICES
Active
Parent organization
ELLIOT PROFESSIONAL SERVICES
Other names
Elliot Pediatric Pulmonary Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELLIOT PROFESSIONAL SERVICES
Authorized official
RICHARD P HERMAN (DIRECTOR OF OPERATIONS & FINANCE)
(603) 663-4904
Entity
Organization
Contact information
Practice address
275 MAMMOTH RD STE 1, ELLIOT PEDIATRIC PULMONARY MEDICINE, MANCHESTER, NH 03109-4133
(603) 663-3222
(603) 663-3229
Mailing address
275 MAMMOTH RD,, SUITE 1 ELLIOT PEDIATRIC PULMONARY MEDICINE, MANCHESTER, NH 03109-4133
(603) 663-3222
(603) 663-3229
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
—
—
Other
Enumeration date
07/11/2011
Last updated
07/11/2011
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