Individual
IRVING INGRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 ESSEX CENTER DRIVE, PEABODY, MA 01960
(978) 532-6111
(978) 532-6123
Mailing address
PO BOX 930, SALEM, MA 01970
(978) 825-6581
(978) 825-7070
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
45686
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3105199
—
MA
Enumeration date
05/25/2006
Last updated
07/08/2007
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