NPI 1558640912

Elliot Professional Services

Organisation Pediatric Nephrology Physician Manchester, NH

Practice location

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

Authorised official

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

Registered specialties

Pediatric Nephrology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2080P0210X

Other Pediatrics providers in New Hampshire →

Registry record

NPI: 1558640912
Entity type: Organization
NPI issued: 16 Aug 2011
Record last updated: 16 Aug 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.