| NPI | 1912255118 |
|---|---|
| Doing Business As | ELLIOT DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | RICHARD P HERMAN Director 603-663-4904 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2012-08-17 |
| Last Update Date | 2012-08-17 |