Elliot Professional Services in Manchester - Pediatric Surgery
Elliot Professional Services - NPI 1083666986
Elliot Professional Services is a Pediatric Surgery in Manchester, New Hampshire. Elliot Professional Services practices all healthcare services and medical treatments related to Pediatric Surgery. The NPI Number for Elliot Professional Services is 1083666986. The last update date is 2008-06-20.
Elliot Professional Services's current location address is 275 Mammoth Rd Ste 1, Manchester, New Hampshire. You can contact this provider via phone number 6036638373 and fax number 6036638399. The mailing address for Elliot Professional Services is 275 Mammoth Rd Ste 1, Manchester, New Hampshire. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Elliot Professional Services |
|---|---|
| Address | 275 Mammoth Rd Ste 1, Manchester, New Hampshire |
| Phone Number | 6036638373 |
| Fax Number | 6036638399 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Herman P. Richard |
| Telephone Number | 6036634904 |
NPI Number Detail
| NPI Number | 1083666986 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2008-06-20 |
Provider Mailing Address Detail
| Address | 275 Mammoth Rd Ste 1 |
|---|---|
| City | Manchester |
| State | New Hampshire (NH) |
| Post Code | 31094133 |
| Phone Number | 6036638373 |
| Fax Number | 6036638399 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Surgery |
|---|---|
| Taxonomy | 2086S0120X |
|
Definition: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CK3360 | NH | RR MEDICARE | |
| 30214278 | NH | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Elliot Professional Services by the Centers for Medicare & Medicaid Services (CMS)?
The Elliot Professional Services has been assigned the NPI (National Provider Identifier) 1083666986. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Elliot Professional Services?
The Elliot Professional Services is physically situated at 275 Mammoth Rd Ste 1, in the city of Manchester, state of NH, with the postal code 31094133.
What is the area of specialization for Elliot Professional Services, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Elliot Professional Services is Pediatric Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 2086S0120X.
When was the Elliot Professional Services's 1083666986 issued?
The Elliot Professional Services's 1083666986 was issued on 2006-05-17.
On what date did the Centers for Medicare & Medicaid Services issue the 1083666986 to Elliot Professional Services?
The Elliot Professional Services received its 1083666986 assignment from the Centers for Medicare & Medicaid Services on 2006-05-17.
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