| Elliot Family Medicine At Glen Lake | |
|
89 S Mast Rd Elliot Family Medicine At Glen Lake Goffstown NH 03045-6102 | |
| (603) 497-5661 | |
| (603) 497-5740 |
| Full Name | Elliot Family Medicine At Glen Lake |
|---|---|
| Speciality | Family Medicine |
| Location | 89 S Mast Rd, Goffstown, New Hampshire |
| Authorized Official Name and Position | Richard P. Herman (DIRECTOR OF OPERATIONS & FINANCE) |
| Authorized Official Contact | 6036634904 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elliot Family Medicine At Glen Lake 89 S Mast Rd Elliot Family Medicine At Glen Lake Goffstown NH 03045-6102 Ph: (603) 497-5661 | Elliot Family Medicine At Glen Lake 89 S Mast Rd Elliot Family Medicine At Glen Lake Goffstown NH 03045-6102 Ph: (603) 497-5661 |
| NPI Number | 1588655567 |
|---|---|
| Provider Enumeration Date | 10/31/2005 |
| Last Update Date | 06/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588655567 | NPI | - | NPPES |
| 30211110 | Medicaid | NH | |
| CG2227 | Other | RR MEDICARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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Diabetes Healthcare Of Nh Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 63 Lisa Dr, Goffstown, NH 03045 Phone: 603-660-6780 |