# GUARDIAN NETWORK

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730622747
- **Authorized official:** DR. THOMAS ANDRE DUANE GIBSON M.D. (PATHOLOGIST)
- **Authorized official phone:** (301) 278-7470

## Contact information

- **Practice address:** 2020 BROOKS DR APT 218, DISTRICT HEIGHTS, MD 20747-1047
- **Practice address phone:** (301) 278-7470
- **Mailing address:** 2020 BROOKS DR APT 218, DISTRICT HEIGHTS, MD 20747-1047
- **Mailing address phone:** (301) 278-7470

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225XP0019X | Physical Rehabilitation Occupational Therapist | 001 | MA | Yes |
| 282NC0060X | Critical Access Hospital | 001 | MA | — |

## Other

- **Enumeration date:** 11/22/2016
- **Last updated:** 11/22/2016