Organization
DOUGLAS T GIBBENS MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS T GIBBENS M.D. (PRESIDENT)
(732) 530-8989
Entity
Organization
Contact information
Practice address
766 SHREWSBURY AVE, SUITE 207, TINTON FALLS, NJ 07724-3001
(732) 530-8989
(732) 530-6365
Mailing address
766 SHREWSBURY AVE, SUITE 207, TINTON FALLS, NJ 07724-3001
(732) 530-8989
(732) 530-6365
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MA06225500
NJ
Other
Enumeration date
03/12/2008
Last updated
03/12/2008
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