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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