| NPI | 1558640912 |
|---|---|
| Doing Business As | ELLIOT PEDIATRIC NEPHROLOGY AND INTEGRATIVE MEDICINE |
| Entity Type | Organization |
| Authorized Contact | RICHARD P HERMAN Director Of Operations & Finance 603-663-4904 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2011-08-16 |