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ELLIOT PROFESSIONAL SERVICES NPI 1790090017


NPI Information

NPI: 1790090017
Provider Name: ELLIOT PROFESSIONAL SERVICES

Doing Business As: PULMONARY MEDICINE ASSOCIATES

Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
706 RIVERWAY PL
BEDFORD, NH
ZIP 03110
Phone: (603) 623-3516
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ELLIOT PROFESSIONAL SERVICES is a pulmonary disease internal medicine in Bedford, NH. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. ELLIOT PROFESSIONAL SERVICES NPI is 1790090017. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pulmonary Medicine Associates.

The provider's business location address is:

706 RIVERWAY PL
BEDFORD, NH
ZIP 03110-768
Phone: (603) 623-3516
Fax: (603) 623-3580

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

The enumeration date for this NPI number is 8/11/2010 and was last updated on 8/11/2010.


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
1207RP1001XInternal MedicinePulmonary DiseaseYes

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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