Elliot Physicians Network

NPI #1053580845 in Manchester, New Hampshire

Provider Information

NPI Number: 1053580845
Entity Type: Organization
Organization Name: Elliot Physicians Network
Subpart: Yes (part of a larger organization)
Parent Organization: ELLIOT PHYSICIANS NETWORK
Primary Specialty: Internal Medicine
Enumeration Date: Feb 26, 2008
Last Updated: Jun 20, 2008

Practice Location

Address: 4 ELLIOT WAY STE 102
Address 2: ELLIOT BAY MEDICAL ASSOCIATES
City: Manchester
State: New Hampshire
ZIP Code: 03103-3551
Phone: (603) 626-5900

Authorized Official

Name: RICHARD P. HERMAN
Title: DIRECTOR OF OPERATIONS & FINANCE
Phone: (603) 663-4904

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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