Elliot Professional Services

NPI #1124397187 in Manchester, New Hampshire

Provider Information

NPI Number
1124397187
Entity Type
Organization
Organization Name
Elliot Professional Services
Subpart
Yes (part of a larger organization)
Parent Organization
ELLIOT PROFESSIONAL SERVICES
Primary Specialty
Pediatrics - Developmental - Behavioral Pediatrics
Enumeration Date
Dec 21, 2011
Last Updated
Dec 21, 2011

Practice Location

Address
275 MAMMOTH RD STE 1
Address 2
ELLIOT DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
ZIP Code
03109-4133
Phone
(603) 663-3222

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Pediatrics - Developmental - Behavioral PediatricsDevelopmental - Behavioral Pediatrics

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Organizations

Provider Name
State of New Hampshire

Part of State of New Hampshire

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