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Individual

MR. DARRYL RICHARD GIBSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
HEARING AID DISPENSE

Contact information

Practice address
42 PARSONAGE RD, EDISON, NJ 08837-2416
(732) 494-6387
Mailing address
42 PARSONAGE RD, EDISON, NJ 08837-2416
(732) 494-6387

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
25MG00069200
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6910807
NJ
Enumeration date
02/16/2007
Last updated
07/09/2007
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