Individual
DR. GERALD P GIBBONS JR.
Active
Individual
DR. GERALD P GIBBONS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD020226E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006032010001
—
PA
01
—
001188
FIRST PRIORITY HEALTH
PA
01
—
020316
HIGHMARK BLUE SHIELD
PA
01
—
020338000
BLACK LUNG
PA
01
—
12039 E222
GEISINGER HEALTH PALN
PA
Enumeration date
07/08/2005
Last updated
06/15/2023
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