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
—
—
Other
Enumeration date
12/12/2023
Last updated
01/08/2025
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