ELLIOT PROFESSIONAL SERVICES NPI 1093072407

NPI Details

ELLIOT PROFESSIONAL SERVICES is a maternal and fetal medicine obstetrics gynecology in Manchester, NH. The provider is an obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. ELLIOT PROFESSIONAL SERVICES NPI is 1093072407. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Elliot Maternal Fetal Medicine.

The provider's business location address is:

1 ELLIOT WAY
ELLIOT MATERNAL FETAL MEDICINE
MANCHESTER, NH
ZIP 03103-502
Phone: (603) 663-3390
Fax: (603) 663-3386

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

The CLIA number assigned to this NPI record is 30D2284818 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/23/2012 and was last updated on 4/23/2012.

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: