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NPI Code Detail

MEDICARE: DR. JOSEPH F GIBBONS M.D.

MEDICARE:  DR. JOSEPH F GIBBONS  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianD0038296MD

General Provider Information

NPI Number : 1023124922
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH F GIBBONS M.D.
Provider Business Mailing Address
First Line : 6230 OLD DOBBIN LN STE 230
Second Line :
City : COLUMBIA
State : MD
Zip : 21045-5884
Country : US
Telephone Number : 410-730-3399
Fax Number : 443-478-4737
Provider Business Practice Location Address
First Line : 6250 OLD DOBBIN LN
Second Line :
City : COLUMBIA
State : MD
Zip : 21045-5816
Country : US
Telephone Number : 410-730-3399
Fax Number : 443-478-4737
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2006
Last Update Date : 05/02/2025

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Directions to “ DR. JOSEPH F GIBBONS M.D.” Practice Location

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