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Contact Information

ELLIOT PROFESSIONAL SERVICES
185 QUEEN CITY AVE
ELLIOT GENERAL SURGICAL SPECIALISTS
MANCHESTER, NH03101-7100
 Phone: 603-627-1102
 Fax: 603-647-5524
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
 

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for ELLIOT PROFESSIONAL SERVICES · (Female)

NPI Number 1841478500
Status Active
Credentials
Entity Individual
Enumeration date 02/05/2008
Last updated 03/18/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • NH Medicaid 30216408
  • NH Other CK3360 RR MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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