Active NPIIndividual provider

Harris Gibson Jr., MD

Thoracic Surgery (Cardiothoracic Vascular Surgery) in Medford, Massachusetts

NPI Number1548267404
Practice location
101 George P Hassett Dr, Medford, MA 02155-3201
Fax
781-391-1767
Last updated
October 4, 2011

Harris Gibson is a Thoracic Surgery (Cardiothoracic Vascular Surgery) based in Medford, MA. Harris Gibson practices in Medford, MA and has the professional credentials of MD. The NPI Number for Harris Gibson is 1548267404 and holds a License No. 29474 (MA). The current practice location address for Harris Gibson is 101 George P Hassett Dr, Medford, MA 02155-3201 and can be reached out via phone at 781-391-0050 and via fax at 781-391-1767.

Provider Profile Details

NPI Number
1548267404
Provider Name
Harris Gibson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
101 George P Hassett Dr, Medford, MA 02155-3201
Phone Number
781-391-0050
Fax Number
781-391-1767
Sole Proprietor
No
Provider Enumeration Date
July 6, 2005
Last Update Date
October 4, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
101 George P Hassett Dr
Medford, MA 02155-3201
Zip
02155-3201
Phone Number
781-391-0050
Fax Number
781-391-1767
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
101 George P Hassett Dr
Medford, MA 02155-3201
City
Medford
State
MA
Zip
02155-3201
Phone Number
781-391-0050
Fax Number
781-391-1767

License Information

License Number
29474
License State
MA

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Harris Gibson Jr., MD?

The NPI number of Harris Gibson Jr., MD is 1548267404. It was assigned on July 6, 2005 and is currently active in the NPPES registry.

What is the specialty of Harris Gibson Jr., MD?

Harris Gibson Jr., MD is registered under the primary taxonomy Thoracic Surgery (Cardiothoracic Vascular Surgery) (code 208G00000X), licensed in MA under license number 29474.

Where does Harris Gibson Jr., MD practice?

The practice location is 101 George P Hassett Dr, Medford, MA 02155-3201. The office can be reached at 781-391-0050 (phone) or 781-391-1767 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1548267404 directly on the NPPES registry website.

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