1497671374 NPI number — INTEGRATED GASTROENTEROLOGY CONSULTANTS SEACOAST PLLC

Table of content: (NPI 1497671374)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497671374 NPI number — INTEGRATED GASTROENTEROLOGY CONSULTANTS SEACOAST PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
INTEGRATED GASTROENTEROLOGY CONSULTANTS SEACOAST PLLC
Provider Last Name:
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Provider's Other Name Information

Provider Other Organization Name:
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NPI Number Information

NPI Number:
1497671374
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/25/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
41 WELLMAN ST STE 400
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LOWELL
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01851-5161
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
978-478-6737
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
325 LAFAYETTE RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SEABROOK
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03874-4561
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
978-459-6737
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/25/2026

Additional Information

Authorized Official

Authorized Official Last Name:
TILSON
Authorized Official First Name:
RICHARD
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
978-458-6737

Provider Taxonomy Codes

  • Taxonomy code: 261QA1903X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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