Individual
LAURA E. GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
176 PALISADE AVE, CHRIST HOSPITAL, JERSEY CITY, NJ 07306-1121
(201) 795-8200
(973) 251-1109
Mailing address
PO BOX 509, LIVINGSTON, NJ 07039-0509
(800) 345-0064
(973) 251-1109
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00222400
NJ
Other
Enumeration date
07/22/2009
Last updated
06/13/2013
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