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ELLIOT PROFESSIONAL SERVICES NPI 1285627935


NPI Information

NPI: 1285627935
Provider Name: ELLIOT PROFESSIONAL SERVICES
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
1070 HOLT AVE
UNIT 1, SUITE 2200
MANCHESTER, NH
ZIP 03109
Phone: (603) 663-4900
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ELLIOT PROFESSIONAL SERVICES 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 PROFESSIONAL SERVICES NPI is 1285627935. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1070 HOLT AVE
UNIT 1, SUITE 2200
MANCHESTER, NH
ZIP 03109-603
Phone: (603) 663-4900
Fax: (603) 663-4984

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 8/29/2005 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
1207P00000XEmergency MedicineNo
22080N0001XPediatricsNeonatal-Perinatal MedicineNo
3207RH0002XInternal MedicineHospice and Palliative MedicineNo
4208200000XPlastic SurgeryNo
52084P0800XPsychiatry & NeurologyPsychiatryNo
62084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryNo
7208M00000XHospitalistNo
8208VP0000XPain MedicinePain MedicineNo
92086S0120XSurgeryPediatric SurgeryNo
10207RP1001XInternal MedicinePulmonary DiseaseNo
11207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
12207R00000XInternal 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 GROUP #
2RE6661MEDICARE ID-TYPE UNSPECIFIEDNEW HAMPSHIREMEDICARE 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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