Individual
FREDERICK A GIBERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4735 OGLETOWN STANTON RD, MEDICAL ARTS PAVILION 2, SUITE 3301, NEWARK, DE 19713-2072
(302) 623-4370
(302) 623-4375
Mailing address
PO BOX 30170, WILMINGTON, DE 19805-7170
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
C1-0004905
DE
2086S0102X
Surgical Critical Care Physician
Primary
C10004905
DE
Other
Enumeration date
12/15/2005
Last updated
11/29/2011
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