NPI 1104187442

Elliot Professional Services

Organisation Pediatric Urology Physician Manchester, NH

Practice location

Address: 275 Mammoth Rd STE 1 Elliot Pediatric Urology, Manchester, NH 03109-4133
Phone: (603) 663-3222
Fax: (603) 663-3229

Authorised official

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

Registered specialties

Pediatric Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2088P0231X

Other Urology providers in New Hampshire →

Registry record

NPI: 1104187442
Entity type: Organization
NPI issued: 4 Jun 2012
Record last updated: 4 Jun 2012

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.