| NPI | 1053580845 |
|---|---|
| Other Name | ELLIOT BAY MEDICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | RICHARD P. HERMAN Director Of Operations & Finance 603-663-4904 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2008-06-20 |