Elliot Physicians Network

NPI #1205821295 in Manchester, New Hampshire

Provider Information

NPI Number
1205821295
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
Sep 15, 2005
Last Updated
Jun 20, 2008

Practice Location

Address
275 MAMMOTH RD STE 4
Address 2
DERRYFIELD MEDICAL GROUP
ZIP Code
03109-4133
Phone
(603) 624-4380

Authorized Official

Name
RICHARD P. HERMAN
Title
DIRECTOR OF OPERATIONS & FINANCE
Phone
(603) 663-5766

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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