| Igc Iii Pllc | |
|
41 Wellman St Ste 400 Lowell MA 01851-5161 | |
| (978) 459-6737 | |
| (855) 818-1869 |
| Full Name | Igc Iii Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 41 Wellman St Ste 400, Lowell, Massachusetts |
| Authorized Official Name and Position | Richard S Tilson (CEO) |
| Authorized Official Contact | 9784596737 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Igc Iii Pllc 41 Wellman St Ste 400 Lowell MA 01851-5161 Ph: (978) 459-6737 | Igc Iii Pllc 41 Wellman St Ste 400 Lowell MA 01851-5161 Ph: (978) 459-6737 |
| NPI Number | 1053010694 |
|---|---|
| Provider Enumeration Date | 03/02/2023 |
| Last Update Date | 01/08/2025 |
| Medicare PECOS PAC ID | 6305285032 |
|---|---|
| Medicare Enrollment ID | O20240415001992 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053010694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Richard S Tilson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346336831 PECOS PAC ID: 4385605906 Enrollment ID: I20041026000682 |
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