NPI 1336101534

Elliot Professional Services

Organisation Plastic and Reconstructive Surgery Physician Manchester, NH

Practice location

Address: 185 Queen City Ave Wound Management Center, Manchester, NH 03101-7100
Phone: (603) 663-3630
Fax: (603) 663-3669

Authorised official

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

Registered specialties (2)

Plastic and Reconstructive Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2086S0122X

Other Surgery providers in New Hampshire →

Undersea and Hyperbaric Medicine (Emergency Medicine) Physician

Allopathic & Osteopathic Physicians Taxonomy 207PE0005X

Other Emergency Medicine providers in New Hampshire →

Registry record

NPI: 1336101534
Entity type: Organization
NPI issued: 4 Apr 2006
Record last updated: 18 Mar 2011

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.