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Organization

ELLIOT PHYSICIAN NETWORK

Active
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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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