OrganizationActive
Elliot Professional Services
NPI 1558640912 · Pediatric Nephrology Physician · Manchester, NH
Provider details
- NPI number
- 1558640912
- Entity type
- Organization
- Primary specialty
- Pediatric Nephrology 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
Practice location
275 Mammoth Rd Ste 1
Elliot Pediatric Nephrology & Integrative Medicine
Manchester, NH 03109-4133
Phone: (603) 663-3222
Fax: (603) 663-3229
Approximate (ZIP-level) locationGet directions
Mailing address
275 Mammoth Rd Ste 1
Manchester, NH 03109-4133
Other names (DBA / former)
- Doing business as
- Elliot Pediatric Nephrology and Integrative Medicine
Registry dates
- Enumerated
- 2011-08-16
- Last updated
- 2011-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.