Organization
GERALD GIBBONS MD LLC
Active
Organization
GERALD GIBBONS MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD GIBBONS JR. MD (MEDICAL DIRECTOR)
(570) 237-5445
Entity
Organization
Contact information
Practice address
1620 HIGHWAY 315 BLVD STE 1, WILKES BARRE, PA 18702-7125
(570) 237-5445
Mailing address
1620 HIGHWAY 315 BLVD STE 1, WILKES BARRE, PA 18702-7125
(570) 237-5445
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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