ELLIOT PROFESSIONAL SERVICES NPI 1083666986

NPI Information

ELLIOT PROFESSIONAL SERVICES is a pediatric surgery surgery in Manchester, NH. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. ELLIOT PROFESSIONAL SERVICES NPI is 1083666986. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Elliot Pediatric Surgery Associates.

The provider's business location address is:

275 MAMMOTH RD STE 1
ELLIOT PEDIATRIC SURGERY ASSOCIATES
MANCHESTER, NH
ZIP 03109-133
Phone: (603) 663-8373
Fax: (603) 663-8399

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 5/17/2006 and was last updated on 6/20/2008.

Taxonomy Codes

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Other Identifiers

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