Individual
ERICA J GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 S PROSPECT ST, 3RD FLOOR, BURLINGTON, VT 05401-3456
(802) 847-4696
(802) 847-8207
Mailing address
1 S PROSPECT ST, 3RD FLOOR, BURLINGTON, VT 05401-3456
(802) 847-4696
(802) 847-8207
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
231907
NY
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
0420012903
VT
Other
Enumeration date
11/08/2006
Last updated
06/05/2014
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