Gibbons, Gary W
Gibbons, Gary W is an individual health care provider with primary practice located at 732 Harrison Ave Preston 2, Boston MA 02118-2656. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Gibbons, Gary W can be contacted via phone (617) 414-6840.Contact Information
Primary practice address
732 Harrison Ave Preston 2
Boston MA 02118-2656
Phone: (617) 414-6840
Fax: (617) 414-6710
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 34791 | Massachusetts |
Profile Details
| NPI number | 1558322040 |
|---|---|
| LBN Legal business name | Gibbons, Gary W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 1st, 2006 |
| Last updated | Mar 14th, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558322040 | NPPES |
| Massachusetts | MEDICAID | 2016621 |
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