Individual
JAMES V GIBBIONS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11 SADDLE RD, CEDAR KNOLLS, NJ 07927-1901
(973) 267-2122
(973) 292-1466
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA07535100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0095141
—
NJ
Enumeration date
07/03/2006
Last updated
06/12/2012
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