Individual
MS. JACQUELINE MCGIBBON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
600 COMMERCE BLVD, STROUDSBURG, PA 18360-6214
(570) 424-7390
(570) 424-7395
Mailing address
206 E BROWN ST, EAST STROUDSBURG, PA 18301-3006
(570) 424-7390
(570) 424-7395
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
201443
NY
207Q00000X
Family Medicine Physician
Primary
MD073233L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01652111
—
NY
Enumeration date
03/23/2006
Last updated
08/27/2014
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