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Elliot Professional Services

Elliot Professional Services is a health care provider in Raymond, NH. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 15 Freetown Rd, Greater Pawtuckaway Imaging, Raymond, NH 03077-2358, US
Practice Location Phone603-895-8000
Practice Location Fax603-895-8099
Legal Business NameELLIOT PROFESSIONAL SERVICES
Other Organization NameGREATER PAWTUCKAWAY IMAGING
Other Organization Name TypeDoing Business As Name
NPI ?1780650457
Entity TypeOrganization
Enumeration Date ? Feb 23, 2006
Last Update Date ? Jul 8, 2008
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Elliot Professional Services

SpecialtySpecializationLicenseLicense State
RadiologyDiagnostic Radiology

legacy-id-icon Legacy Provider IDs of Elliot Professional Services

Provider IdIssuer StateIssuer TypeIssuer
P00009327New HampshireOtherRR MEDICARE GRP
30812254New HampshireMedicaid
601463704New HampshireOtherW/C DOL GRP
667221New HampshireOtherCIGNA GRP
626440New HampshireOtherHPHC GRP
RE6661New HampshireMedicare Id-type UnspecifiedMEDICARE GRP
696696New HampshireOtherTUFTS GRP
3207928New HampshireOtherAETNA GRP
15Y002260NH02New HampshireOtherANTHEM GRP ACES

official-icon Authorized Official of Elliot Professional Services

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Elliot Professional Services's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Richard P. Herman
Authorized Official Title/PositionDIRECTOR OF OPERATIONS & FINANCE
Authorized Official Phone Number603-663-4904