Organization
GIBBONS FOOT & ANKLE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS J GIBBONS DPM (DOCTOR OWNER)
(732) 254-2609
Entity
Organization
Contact information
Practice address
8 AUER COURT, SUITE C & D, EAST BRUNSWICK, NJ 08816
(732) 254-2609
(732) 238-6269
Mailing address
8 AUER COURT, SUITE C & D, EAST BRUNSWICK, NJ 08816
(732) 254-2609
(732) 238-6269
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00194800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
099508
MEDICARE GRP NUMBER
NJ
05
—
4602501
—
NJ
Enumeration date
09/11/2006
Last updated
10/18/2013
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