Integlia, Mark J

Integlia, Mark J is an individual health care provider with primary practice located at 887 Congress St Suite 410B, Portland ME 04102-3100. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is his primary health care specialty. Integlia, Mark J can be contacted via phone (207) 662-5522.

Contact Information

Primary practice address
887 Congress St Suite 410B Portland ME 04102-3100
Phone: (207) 662-5522
Fax: (207) 662-5526
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 015427 Maine
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 015427 Maine

Profile Details

NPI number 1790717312
LBN Legal business name Integlia, Mark J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Jan 10th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1790717312 NPPES
Maine MEDICAID 283380099
Maine MEDICAID 30201387

Popular Providers