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ELLIOT PROFESSIONAL SERVICES NPI 1013976810


NPI Information

NPI: 1013976810
Provider Name: ELLIOT PROFESSIONAL SERVICES

Doing Business As: NEONATOLOGY SERVICES

Classification: Pediatrics - 2080N0001X
Entity Type: Organization

Specialization: Neonatal-Perinatal Medicine

Address:
1 ELLIOT WAY
NEONATOLOGY SERVICES
MANCHESTER, NH
ZIP 03103
Phone: (603) 663-2692
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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 1013976810. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Neonatology Services.

The provider's business location address is:

1 ELLIOT WAY
NEONATOLOGY SERVICES
MANCHESTER, NH
ZIP 03103-502
Phone: (603) 663-2692
Fax: (603) 663-3982

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 3/21/2006 and was last updated on 6/20/2008.


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
1CK3360OTHERNEW HAMPSHIRERR MEDICARE
230212431MEDICAIDNEW HAMPSHIRE
3RE6661MEDICARE ID-TYPE UNSPECIFIEDNEW HAMPSHIREMEDICARE GRP

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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