Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Elliot Professional Services

Organization Pediatric Nephrology Physician · NPI 1558640912

Elliot Professional Services provides Pediatric Nephrology Physician services in Manchester, New Hampshire. Registered with an NPI since 2011.

In the registry since
2011

Practice location Address checks out

275 Mammoth Rd Ste 1 Elliot Pediatric Nephrology & Integrative Medicine
Manchester, NH 03109-4133 Not confirmed with CMS for 15 years — call before visiting
Phone: (603) 663-3222
Fax: (603) 663-3229
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nephrology Physician (primary) Taxonomy 2080P0210X

Record details

NPI number1558640912
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationElliot Professional Services
Authorized official Richard Herman — Director Of Operations & Finance · (603) 663-4904
Other names Elliot Pediatric Nephrology And Integrative Medicine
NPI enumeratedAugust 16, 2011
Last updated in NPPESAugust 16, 2011
Mailing address275 Mammoth Rd Ste 1, Elliot Pediatric Nephrology & Integrative Medicine, Manchester, NH 03109-4133

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