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Organization

ELLIOT PROFESSIONAL SERVICES

Active
Parent organization
ELLIOT PROFESSIONAL SERVICES
Other names
Elliot Obstetrics and Gynecology
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
15 NELSON ST FL 2, ELLIOT OBSTETRICS AND GYNECOLOGY, MANCHESTER, NH 03103-2706
(603) 624-8491
(603) 625-1622
Mailing address
15 NELSON ST FL 2, ELLIOT OBSTETRICS AND GYNECOLOGY, MANCHESTER, NH 03103-2706
(603) 624-8491
(603) 625-1622

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Enumeration date
04/22/2011
Last updated
04/22/2011
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