Elliot Physicians Network
Organization Active NPI Pediatrics Physician · Manchester, NH
NPI 1912997396 · NPPES record last updated Jun 20, 2008
Key facts
- NPI
- 1912997396
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- Legal business name
- ELLIOT PHYSICIANS NETWORK
- Practice address
- 275 Mammoth Rd Ste 2
Doctors Park Pediatrics
Manchester, NH 03109-4133 - Phone
- (603) 663-8300
- Fax
- (603) 663-8349
- NPI assigned
- Oct 26, 2005
- Organization subpart
- Yes
- Parent organization (as reported)
- ELLIOT PHYSICIANS NETWORK
Authorized official
- Name
- Richard P. Herman
- Title
- Director of Operations & Finance
- Phone
- (603) 663-5766
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
275 Mammoth Rd
Ste 2
Manchester, NH 03109
Phone (603) 663-8300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | Yes |
Addresses
Primary practice location
275 Mammoth Rd Ste 2
Doctors Park Pediatrics
Manchester, NH 03109-4133
Mailing address
275 Mammoth Rd Ste 2
Doctors Park Pediatrics
Manchester, NH 03109-4133
Phone (603) 663-8300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30210579 | Medicaid | NH | |
| CG2227 | Other | NH | RR MEDICARE GROUP |
Other names
- Doctors Park Pediatrics
Other providers in Manchester, NH
- Elliot Physicians Network
- Elliot Physicians Network
- Elliot Physicians Network
- Elliot Physicians Network
- Elliot Physicians Network
- Elliot Physicians Network
- Elliot Professional Services
- Elliot Professional Services
- Elliot Professional Services
- Elliot Professional Services
All providers in Manchester, NH · Pediatrics 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.