Gibney, Mary D

Gibney, Mary D is an individual health care provider with primary practice located at 198 Massachusetts Ave Ste 105 , North Andover MA 01845-4143. She recently has only one registered license in Allopathic & Osteopathic Physicians / Procedural Dermatology, which is considered as her primary health care specialty. Gibney, Mary D can be contacted via phone (978) 691-5690.

Contact Information

Primary practice address
198 Massachusetts Ave Ste 105 North Andover MA 01845-4143
Phone: (978) 691-5690
Fax: (978) 691-5693
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 150484 Massachusetts

Profile Details

NPI number 1801885918
LBN Legal business name Gibney, Mary D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2005
Last updated Oct 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801885918 NPPES
Massachusetts MEDICAID 3152243

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