Organization
ELLIOT PHYSICIAN NETWORK
Active
Parent organization
ELLIOT PHYSICIAN NETWORK
Other names
Neil J. Markwith, MD
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELLIOT PHYSICIAN NETWORK
Authorized official
RICHARD P HERMAN (DIRECTOR OF OPERATION AND FINANCE)
(603) 663-4904
Entity
Organization
Contact information
Practice address
445 CYPRESS ST, SUITE 6, MANCHESTER, NH 03103-3600
(603) 669-9450
(603) 669-1858
Mailing address
445 CYPRESS ST, SUITE 6, MANCHESTER, NH 03103-3600
(603) 669-9450
(603) 669-1858
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RE5600
MEDICARE GROUP
NH
Enumeration date
01/20/2009
Last updated
01/20/2009
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