Individual
DR. ERIC GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 ROCKLAND ROAD, PROVIDER ENROLLMENT DEPT, WILMINGTON, DE 19732-0191
(302) 651-6212
(302) 651-4945
Mailing address
1600 ROCKLAND ROAD, PROVIDER ENROLLMENT DEPT, WILMINGTON, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME127936
FL
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MD032476E
PA
2080N0001X
Neonatal-Perinatal Medicine Physician
ME127936
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017688600
—
FL
05
—
1117920
—
PA
05
—
1272426
—
NY
05
—
1398091
—
MD
05
—
988804
—
NJ
Enumeration date
10/26/2006
Last updated
10/06/2017
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