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ELLIOT PHYSICIANS NETWORK NPI 1063403996


NPI Information

NPI: 1063403996
Provider Name: ELLIOT PHYSICIANS NETWORK

Doing Business As: GRANITE STATE MEDICAL CENTER

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
190 TARRYTOWN RD
GRANITE STATE MEDICAL CENTER
MANCHESTER, NH
ZIP 03103
Phone: (603) 626-5113
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ELLIOT PHYSICIANS NETWORK is an internal medicine in Manchester, NH. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. ELLIOT PHYSICIANS NETWORK NPI is 1063403996. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Granite State Medical Center.

The provider's business location address is:

190 TARRYTOWN RD
GRANITE STATE MEDICAL CENTER
MANCHESTER, NH
ZIP 03103-713
Phone: (603) 626-5113
Fax: (603) 622-5298

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 10/31/2005 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
1207R00000XInternal 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
1RE5600MEDICARE ID-TYPE UNSPECIFIEDNEW HAMPSHIREMEDICARE GROUP #
230210580MEDICAIDNEW HAMPSHIRE
3CG2227OTHERNEW HAMPSHIRERR MEDICARE 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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