MEDICARE: ELLIOT PHYSICIAN NETWORK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1184857641
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELLIOT PHYSICIAN NETWORK

Provider Business Mailing Address
First Line	:	345 CILLEY RD
Second Line	:	ELLIOT FAMILY MEDICINE AT EAST MANCHESTER
City	:	MANCHESTER
State	:	NH
Zip	:	03103-4500
Country	:	US
Telephone Number	:	603-606-6977
Fax Number	:	603-606-6983

Provider Business Practice Location Address
First Line	:	345 CILLEY RD
Second Line	:	ELLIOT FAMILY MEDICINE AT EAST MANCHESTER
City	:	MANCHESTER
State	:	NH
Zip	:	03103-4500
Country	:	US
Telephone Number	:	603-606-6977
Fax Number	:	603-606-6983

Authorized Official
Title or Position	:	DIRECTOR OF OPERATIONS & FINANCE
Name	:	RICHARD P HERMAN
Credential	:
Telephone Number	:	603-663-4904

Provider Enumeration Date	:	09/01/2009
Last Update Date	:	09/01/2009

Similar Medicare Providers

1033826748 — MEGAN EMILY WYNKOOP
Practice Location Address:

345 CILLEY RD STE 1
MANCHESTER, NH
03103-4500

Practice Phone: 603-338-0033
Practice Fax:

1720049240 — JEFFRIES FAMILY MEDICINE, PLLC
Practice Location Address:

345 CILLEY RD
MANCHESTER, NH
03103-4500

Practice Phone: 603-606-6977
Practice Fax: 603-606-6983

1811005648 — JENNIFER FAULKNER JEFFRIES MD MPH
Practice Location Address:

345 CILLEY ROAD , JEFFRIES FAMILY MEDICINE PLLC
MANCHESTER, NH
03103-4500

Practice Phone: 603-606-6977
Practice Fax: 603-606-6983

1992861280 — RAMESH DURVASULA D.M.D.
Practice Location Address:

345 CILLEY RD
MANCHESTER, NH
03103-4500

Practice Phone: 603-669-7584
Practice Fax: 603-625-8464

1356550461 — RAMESH DURVASULA D.M.D.,P.C.
Practice Location Address:

345 CILLEY RD
MANCHESTER, NH
03103-4500

Practice Phone: 603-669-7584
Practice Fax: 603-625-8464

1396973632 — DR. ALPANA CHOPRA MD
Practice Location Address:

345 CILLEY RD , ELLIOT FAMILY MEDICINE AT EAST MANCHESTER
MANCHESTER, NH
03103-4500

Practice Phone: 603-606-6977
Practice Fax: 603-606-6983

Directions to “ELLIOT PHYSICIAN NETWORK ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.