Healthcare Provider Details

I. General information

NPI: 1497671374
Provider Name (Legal Business Name): INTEGRATED GASTROENTEROLOGY CONSULTANTS SEACOAST PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 LAFAYETTE RD
SEABROOK NH
03874-4561
US

IV. Provider business mailing address

41 WELLMAN ST STE 400
LOWELL MA
01851-5161
US

V. Phone/Fax

Practice location:
  • Phone: 978-459-6737
  • Fax:
Mailing address:
  • Phone: 978-478-6737
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. RICHARD TILSON
Title or Position: OWNER
Credential: MD
Phone: 978-458-6737