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Individual

DR. JACQUELINE A GIBBES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1000 BROADWAY, CHELSEA, MA 02150-2247
(617) 660-6600
(617) 887-2794
Mailing address
1000 BROADWAY, CHELSEA, MA 02150-2247
(617) 660-6600
(617) 887-2794

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
49818
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3003167
MA
01
99220101
NETWORK HEALTH
MA
01
E05924
BLUE CROSS BLUE SHIELD
MA
Enumeration date
10/19/2006
Last updated
07/08/2007
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