| NPI | 1104187442 |
|---|---|
| Doing Business As | ELLIOT PEDIATRIC UROLOGY |
| Entity Type | Organization |
| Authorized Contact | RICHARD P HERMAN Director Of Operations And Finance 603-663-4904 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2088P0231X |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2012-06-04 |