Elliot Professional Services

NPI #1528377876 in Manchester, New Hampshire

Provider Information

NPI Number
1528377876
Entity Type
Organization
Organization Name
Elliot Professional Services
Subpart
Yes (part of a larger organization)
Parent Organization
ELLIOT PROFESSIONAL SERVICES
Primary Specialty
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology
Enumeration Date
Oct 5, 2010
Last Updated
May 11, 2011

Practice Location

Address
275 MAMMOTH RD STE 1
Address 2
ELLIOT PEDIATRIC NEUROLOGY
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
Psychiatry & Neurology - Neurology with Special Qualifications in Child NeurologyNeurology with Special Qualifications in Child Neurology

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