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Organization
IGC IV PLLC
Active
Organization
IGC IV PLLC
Active
Parent organization
INTEGRATED GASTROENTEROLOGY CONSULTANTS, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTEGRATED GASTROENTEROLOGY CONSULTANTS, PC
Authorized official
RICHARD S TILSON MD (CEO)
(978) 459-6737
Entity
Organization
Contact information
Practice address
41 WELLMAN ST STE 400, LOWELL, MA 01851-5161
(978) 459-6737
(855) 818-1869
Mailing address
41 WELLMAN ST STE 400, LOWELL, MA 01851-5161
(978) 459-6737
(855) 818-1869
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
NULL
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
12/12/2023
Last updated
01/08/2025
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