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NPI Code Detail

MEDICARE: RICHARD GIBBS

MEDICARE: RICHARD GIBBS
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1053243907
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD GIBBS
Provider Business Mailing Address
First Line : 92 NEWTOWN AVE
Second Line :
City : NORWALK
State : CT
Zip : 06851-3027
Country : US
Telephone Number : 860-462-1944
Fax Number :
Provider Business Practice Location Address
First Line : 275 MOUNT CARMEL AVE
Second Line :
City : HAMDEN
State : CT
Zip : 06518-1908
Country : US
Telephone Number : 800-462-1944
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/02/2026

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