Individual
FREDERICK THOMAS GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
1023149
MA
207R00000X
Internal Medicine Physician
289211
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/12/2020
Last updated
11/17/2025
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