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4 Elliot Way, Suite 100 Elliot Family Medicine At Manchester Manchester NH 03103-3551 | |
(603) 626-5113 | |
(603) 622-5298 |
Full Name | |
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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 |
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4 Elliot Way, Suite 100 Elliot Family Medicine At Manchester Manchester NH 03103-3551 Ph: (603) 626-5113 | 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 |
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1053642892 | NPI | - | NPPES |
RE5600 | Other | NH | MEDICARE GROUP PTAN |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Healthways Family Practice Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 59 Sheffield Rd, Manchester, NH 03103 Phone: 603-606-7020 Fax: 603-622-4102 |