Individual
DR. DOUGLAS GIBBENS
Active
Individual
DR. DOUGLAS GIBBENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA06225500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00067630
RAILROAD MEDICARE NUMBER
—
Enumeration date
10/05/2005
Last updated
02/25/2015
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