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ELLIOT PROFESSIONAL SERVICES NPI 1104187442


NPI Information

NPI: 1104187442
Provider Name: ELLIOT PROFESSIONAL SERVICES

Doing Business As: ELLIOT PEDIATRIC UROLOGY

Classification: Urology - 2088P0231X
Entity Type: Organization

Specialization: Pediatric Urology

Address:
275 MAMMOTH RD STE 1
ELLIOT PEDIATRIC UROLOGY
MANCHESTER, NH
ZIP 03109
Phone: (603) 663-3222
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ELLIOT PROFESSIONAL SERVICES is a pediatric urology urology in Manchester, NH. The provider is surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele). ELLIOT PROFESSIONAL SERVICES NPI is 1104187442. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Elliot Pediatric Urology.

The provider's business location address is:

275 MAMMOTH RD STE 1
ELLIOT PEDIATRIC UROLOGY
MANCHESTER, NH
ZIP 03109-133
Phone: (603) 663-3222
Fax: (603) 663-3229

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

The enumeration date for this NPI number is 6/4/2012 and was last updated on 6/4/2012.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12088P0231XUrologyPediatric UrologyYes

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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