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ELLIOT PROFESSIONAL SERVICES NPI 1528389780


NPI Information

NPI: 1528389780
Provider Name: ELLIOT PROFESSIONAL SERVICES

Other Name: NICU FOLLOW UP PROGRAM

Classification: Pediatrics - 2080N0001X
Entity Type: Organization

Specialization: Neonatal-Perinatal Medicine

Address:
275 MAMMOTH RD
SUITE 1C
MANCHESTER, NH
ZIP 03109
Phone: (603) 663-4539
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ELLIOT PROFESSIONAL SERVICES is a neonatal-perinatal medicine pediatrics in Manchester, NH. The provider is a pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. ELLIOT PROFESSIONAL SERVICES NPI is 1528389780. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Nicu Follow Up Program.

The provider's business location address is:

275 MAMMOTH RD
SUITE 1C
MANCHESTER, NH
ZIP 03109-133
Phone: (603) 663-4539
Fax: (603) 663-3982

The provider's authorized official is Richard P. Herman .
The authorized official title is Director Of Operations And Finance and has the following contact phone number (603) 663-4904.

The enumeration date for this NPI number is 6/22/2010 and was last updated on 6/22/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080N0001XPediatricsNeonatal-Perinatal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1RE6661OTHERNEW HAMPSHIREMEDICARE GROUP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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