Individual
KAREN E MCGIBBON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3028 BRIGHTSEAT ROAD, #104, LANHAM, MD 20706
(301) 772-6905
(301) 772-6908
Mailing address
9440 PENNSYLVANIA AVENUE, #160, UPPER MARLBORO, MD 20772-3687
(301) 599-0460
(301) 599-0463
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0052176
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
409673800
—
MD
Enumeration date
08/22/2006
Last updated
07/08/2007
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