Elliot Family Medicine At Manchester | |
4 Elliot Way, Suite 100 Elliot Family Medicine At Manchester Manchester NH 03103-3551 | |
(603) 626-5113 | |
(603) 622-5298 |
Full Name | Elliot Family Medicine At Manchester |
---|---|
Speciality | Family Medicine |
Location | 4 Elliot Way, Suite 100, Manchester, New Hampshire |
Authorized Official Name and Position | Richard P. Herman (DIRECTOR OF FINANCE & OPERATIONS) |
Authorized Official Contact | 6036634904 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Elliot Family Medicine At Manchester 4 Elliot Way, Suite 100 Elliot Family Medicine At Manchester Manchester NH 03103-3551 Ph: (603) 626-5113 | Elliot Family Medicine At Manchester 4 Elliot Way, Suite 100 Elliot Family Medicine At Manchester Manchester NH 03103-3551 Ph: (603) 626-5113 |
NPI Number | 1053642892 |
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Provider Enumeration Date | 01/19/2010 |
Last Update Date | 10/22/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053642892 | NPI | - | NPPES |
RE5600 | Other | NH | MEDICARE GROUP PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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