NPI 1063403996

Elliot Physicians Network

Organisation Internal Medicine Physician Manchester, NH

Practice location

Address: 190 Tarrytown Rd Granite State Medical Center, Manchester, NH 03103-2713
Phone: (603) 626-5113
Fax: (603) 622-5298

Authorised official

Name: Richard P. Herman
Title: Director of Operations & Finance
Phone: (603) 663-4904

Registered specialties

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X

Other Internal Medicine providers in New Hampshire →

Registry record

NPI: 1063403996
Entity type: Organization
NPI issued: 31 Oct 2005
Record last updated: 20 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.