NPI 1649568700
Elliot Professional Services
Practice location
- Address
- 275 Mammoth Rd STE 1 Elliot Pediatric Pulmonary Medicine, Manchester, NH 03109-4133
- Phone
- (603) 663-3222
- Fax
- (603) 663-3229
- Mailing address
- 275 Mammoth Rd, Suite 1 Elliot Pediatric Pulmonary Medicine, Manchester, NH 03109-4133
Authorised official
- Name
- Richard P Herman
- Title
- Director of Operations & Finance
- Phone
- (603) 663-4904
Registered specialties
Pediatric Pulmonology Physician
Primary
Registry record
- NPI
- 1649568700
- Entity type
- Organization
- NPI issued
- 11 Jul 2011
- Record last updated
- 11 Jul 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.