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ELLIOT PROFESSIONAL SERVICES NPI 1558538470


NPI Information

NPI: 1558538470
Provider Name: ELLIOT PROFESSIONAL SERVICES

Other Name: ELLIOT ENDOCRINOLOGY ASSOCIATES

Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

CLIA Number: 30D1086109

Address:
445 CYPRESS ST STE 7
ELLIOT ENDOCRINOLOGY ASSOCIATES
MANCHESTER, NH
ZIP 03103
Phone: (603) 663-3740
Get Directions

ELLIOT PROFESSIONAL SERVICES is an endocrinology and diabetes and metabolism internal medicine in Manchester, NH. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. ELLIOT PROFESSIONAL SERVICES NPI is 1558538470. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Elliot Endocrinology Associates.

The provider's business location address is:

445 CYPRESS ST STE 7
ELLIOT ENDOCRINOLOGY ASSOCIATES
MANCHESTER, NH
ZIP 03103-600
Phone: (603) 663-3740
Fax: (603) 663-3749

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 CLIA number assigned to this NPI record is 30D1086109 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/9/2008 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
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismYes

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
1PENDINGMEDICAIDNEW HAMPSHIRE
2RE6661OTHERMEDICARE GROUP
3CK3360OTHERRR 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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