Elliot Physicians Network
Organization Active NPI Geriatric Medicine (Internal Medicine) Physician · Manchester, NH
NPI 1770564775 · NPPES record last updated Jun 20, 2008
Key facts
- NPI
- 1770564775
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician 207RG0300X
- Legal business name
- ELLIOT PHYSICIANS NETWORK
- Practice address
- 138 Webster St
Senior Health Primary Care
Manchester, NH 03104-2512 - Phone
- (603) 663-7030
- Fax
- (603) 663-7039
- NPI assigned
- Nov 8, 2005
- Organization subpart
- Yes
- Parent organization (as reported)
- ELLIOT PHYSICIANS NETWORK
Authorized official
- Name
- Richard P. Herman
- Title
- Director of Operations and Finance
- Phone
- (603) 663-4904
Parent organization (reported in NPPES) 1
Corporate family (same tax ID) 27
National Provider Directory
- Tax ID family
- Elliot Physician Network
- Part of
- Elliot Physician Network
Locations
40 Buttrick Rd
#B
Londonderry, NH 03053
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician |
207RG0300X | Yes |
Addresses
Primary practice location
138 Webster St
Senior Health Primary Care
Manchester, NH 03104-2512
Mailing address
138 Webster St
Senior Health Primary Care
Manchester, NH 03104-2512
Phone (603) 663-7030
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30211704 | Medicaid | NH | |
| CG2227 | Other | NH | RR MEDICARE GROUP # |
Other names
- Senior Health Primary Care
Other providers in Manchester, NH
- Elliot Physicians Network
- Elliot Physicians Network
- Elliot Physicians Network
- Elliot Physicians Network
- Elliot Physicians Network
- Elliot Physicians Network
- Elliot Physicians Network
- Elliot Physicians Network
- Elliot Physicians Network
- Elliot Physicians Network
All providers in Manchester, NH · Geriatric Medicine (Internal Medicine) Physician in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.