Elliot Physicians Network

NPI #1063403996 in Manchester, New Hampshire

Provider Information

NPI Number: 1063403996
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: Oct 31, 2005
Last Updated: Jun 20, 2008

Practice Location

Address: 190 TARRYTOWN RD
Address 2: GRANITE STATE MEDICAL CENTER
City: Manchester
State: New Hampshire
ZIP Code: 03103-2713
Phone: (603) 626-5113

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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