OrganizationActive
Elliot Professional Services
NPI 1972579746 · Surgery Physician · Manchester, NH
Provider details
- NPI number
- 1972579746
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Elliot Professional Services
- Authorized official
- Richard Herman, Director of Operations & Finance
Practice location
275 Mammoth Rd Ste 1
Elliot Breast Health Center
Manchester, NH 03109-4133
Phone: (603) 668-3067
Fax: (603) 668-0164
Mailing address
275 Mammoth Rd Ste 1
Manchester, NH 03109-4133
Registry dates
- Enumerated
- 2006-02-23
- Last updated
- 2008-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.