Gibson, Harris

Gibson, Harris is an individual health care provider with primary practice located at 101 George P Hassett Dr , Medford MA 02155-3201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Gibson, Harris can be contacted via phone (781) 391-0050.

Contact Information

Primary practice address
101 George P Hassett Dr Medford MA 02155-3201
Phone: (781) 391-0050
Fax: (781) 391-1767
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 29474 Massachusetts

Profile Details

NPI number 1548267404
LBN Legal business name Gibson, Harris
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2005
Last updated Oct 4th, 2011 - about 15 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 1548267404 NPPES
Massachusetts MEDICAID 0131571

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