Organization
ELLIOT PROFESSIONAL SERVICES
Active
Parent organization
ELLIOT PROFESSIONAL SERVICES
Other names
Pulmonary Medicine Associates
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
706 RIVERWAY PL, BEDFORD, NH 03110-6768
(603) 623-3516
(603) 623-3580
Mailing address
706 RIVERWAY PL, BEDFORD, NH 03110-6768
(603) 623-3516
(603) 623-3580
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RE6661
MEDICARE GROUP
NH
Enumeration date
08/11/2010
Last updated
08/11/2010
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