OrganizationActive
Elliot Professional Services
NPI 1336101534 · Plastic and Reconstructive Surgery Physician · Manchester, NH
Provider details
- NPI number
- 1336101534
- Entity type
- Organization
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Elliot Professional Services
- Organization subpart
- Yes
- Authorized official
- Richard Herman, Director of Operations & Finance(603) 663-4904
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
185 Queen City Ave
Wound Management Center
Manchester, NH 03101-7100
Phone: (603) 663-3630
Fax: (603) 663-3669
Approximate (ZIP-level) locationGet directions
Mailing address
185 Queen City Ave
Manchester, NH 03101-7100
Other names (DBA / former)
- Other name
- Wound Management Center
Registry dates
- Enumerated
- 2006-04-04
- Last updated
- 2011-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.