National Provider Identifier Database

MARK J INTEGLIA, MD – NPI #1790717312
Pediatric Gastroenterology

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.


Contact Information

MARK J INTEGLIA, MD
887 CONGRESS ST
SUITE 410B
PORTLAND, ME04102-3100
Phone: 207-662-5522
Fax: 207-662-5526
Website:
Specialty Taxonomy Code
* Pediatric Gastroenterology 2080P0206X
Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for MARK J INTEGLIA

NPI Number 1790717312
Credentials MD
Entity Individual
Enumeration date 07/06/2006
Last updated 01/10/2011 - About 15 years ago
Sole proprietor1 No
Identifiers
  • ME License #: 015427
  • ME Medicaid: 283380099
  • NH Medicaid: 30201387
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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