Individual
SHARON E GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
130 WATERMAN ST, PROVIDENCE, RI 02906-2010
(401) 274-2300
(401) 272-1302
Mailing address
118 DUDLEY ST, PROVIDENCE, RI 02905-2403
(401) 274-2300
(401) 272-1302
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
MD09174
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9020307
—
RI
Enumeration date
08/28/2006
Last updated
08/05/2014
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