Organization · NPI-2

Elliot Physicians Network

Family Medicine · Windham, NH

NPI number1770718280
StatusActive
Last updated in NPPESMay 3, 2011

Details

NPI
1770718280
Entity type
Organization (NPI-2)
Legal business name
Elliot Physicians Network
Organization subpart
Yes
Enumeration date
May 28, 2009
Last updated
May 3, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Other names

  • Elliot Family Medicine At Windham (Other Name)

Practice location

5 Industrial Drive
Unit B
Windham, NH 03087-2026

Phone 603-894-0063 · Fax 603-894-9727

Mailing address

5 Industrial Drive
Unit B
Windham, NH 03087-2026

Phone 603-894-0063 · Fax 603-894-9727

Authorized official

Richard P Herman
Director Of Operation & Finance
6036634904

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