Individual
LINDA MARY TAMBASCIO GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
95 CHAPEL ST, NORWOOD, MA 02062
(781) 762-5858
(781) 949-4343
Mailing address
95 CHAPEL ST, NORWOOD, MA 02062
(781) 762-5858
(781) 949-4343
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
1010
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
970010507
RAILROAD MEDICARE
—
Enumeration date
01/16/2007
Last updated
06/28/2010
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