Organization
ELLIOT PROFESSIONAL SERVICES
Active
Organization
ELLIOT PROFESSIONAL SERVICES
Active
Parent organization
ELLIOT PROFESSIONAL SERVICES
Other names
ELLIOT DERMATOLOGY
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELLIOT PROFESSIONAL SERVICES
Authorized official
RICHARD P HERMAN (DIRECTOR)
(603) 663-4904
Entity
Organization
Contact information
Practice address
185 QUEEN CITY AVE, ELLIOT DERMATOLOGY, MANCHESTER, NH 03101-7121
(603) 314-6930
(603) 314-6939
Mailing address
185 QUEEN CITY AVE, ELLIOT DERMATOLOGY, MANCHESTER, NH 03101-7121
(603) 314-6930
(603) 314-6939
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
08/17/2012
Last updated
08/17/2012
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