| Elliot Primary Care At Londonderry | |
|
40 Buttrick Rd Elliot Primary Care At Londonderry Londonderry NH 03053-3381 | |
| (603) 537-2100 | |
| (603) 537-2107 |
| Full Name | Elliot Primary Care At Londonderry |
|---|---|
| Speciality | Family Medicine |
| Location | 40 Buttrick Rd, Londonderry, New Hampshire |
| Authorized Official Name and Position | Richard P. Herman (DIRECTOR OF OPERATIONS & FINANCE) |
| Authorized Official Contact | 6036634904 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elliot Primary Care At Londonderry 40 Buttrick Rd Elliot Primary Care At Londonderry Londonderry NH 03053-3381 Ph: (603) 537-2100 | Elliot Primary Care At Londonderry 40 Buttrick Rd Elliot Primary Care At Londonderry Londonderry NH 03053-3381 Ph: (603) 537-2100 |
| NPI Number | 1841288743 |
|---|---|
| Provider Enumeration Date | 10/13/2005 |
| Last Update Date | 06/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841288743 | NPI | - | NPPES |
| 30210569 | Medicaid | NH | |
| CG2227 | Other | NH | RR MEDICARE GRP PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
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