person
Emilie Koepke Gibbs, PA
Medical Physician Assistant in Newtown, Connecticut
NPI 1154318251

Emilie Koepke Gibbs is a Medical Physician Assistant based in Newtown, CT and is specialized in Medical. Emilie Koepke Gibbs practices in Newtown, CT and has the professional credentials of PA. The NPI Number for Emilie Koepke Gibbs is 1154318251 and holds a License No. 001401 (Connecticut).

The current practice location address for Emilie Koepke Gibbs is 10 Queen St, Newtown, CT and can be reached out via phone at 203-426-3267 and via fax at 203-426-3903.

Location: 10 Queen St, Newtown, CT, 06470-2156
person
Provider Profile Details
NPI Number
1154318251
Provider Name
Emilie Koepke Gibbs
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
10 Queen St, Newtown, CT, 06470-2156
Phone Number
203-426-3267
Fax Number
203-426-3903
Provider Enumeration Date
10/04/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
290001401CT01 01 BLUE CROSS BLUE SHIELD
300461 01 CT PREFERRED ONE
2V2497 01 CT HEALTHNET
140100 01 CT CONNECTICARE
institution
Provider Business Practice Location Address Details
Address
10 Queen St
City
State
Zip
06470-2156
Phone Number
203-426-3267
Fax Number
203-426-3903
person
Provider Business Mailing Address Details
Address
10 Queen St
City
State
Zip
06470-2156
Phone Number
203-426-3267
Fax Number
203-426-3903
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
001401 (Connecticut)
Definition
Definition to come...
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