Elliot Family Medicine At Bedford Village | |
15 Constitution Dr Elliot Family Medicine At Bedford Village Bedford NH 03110-6042 | |
(603) 472-7233 | |
(603) 472-9188 |
Full Name | Elliot Family Medicine At Bedford Village |
---|---|
Speciality | Family Medicine |
Location | 15 Constitution Dr, Bedford, New Hampshire |
Authorized Official Name and Position | Richard P. Herman (DIRECTOR OF OPERATIONS & FINANCE) |
Authorized Official Contact | 6036635766 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Elliot Family Medicine At Bedford Village 15 Constitution Dr Elliot Family Medicine At Bedford Village Bedford NH 03110-6042 Ph: (603) 472-7233 | Elliot Family Medicine At Bedford Village 15 Constitution Dr Elliot Family Medicine At Bedford Village Bedford NH 03110-6042 Ph: (603) 472-7233 |
NPI Number | 1154310910 |
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Provider Enumeration Date | 10/14/2005 |
Last Update Date | 06/20/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154310910 | NPI | - | NPPES |
30210578 | Medicaid | NH | |
CG2227 | Other | NH | RR MEDICARE GRP # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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