person
Dr. Glen R Gibson, MD
Surgical Oncology Physician in Annapolis, Maryland
NPI 1609874973

Glen R Gibson is a Surgical Oncology Physician based in Belfast, MD and is specialized in Surgical Oncology. Glen R Gibson practices in Annapolis, MD and has the professional credentials of MD. The NPI Number for Glen R Gibson is 1609874973 and holds a License No. D0062550 (Maryland).

The current practice location address for Glen R Gibson is 2003 Medical Pkwy, Annapolis, MD and can be reached out via phone at 410-266-9966 and via fax at 410-266-6819. You can also correspond with Glen R Gibson through the mailing address at PO BOX 12622, BELFAST, ME - 04915-4017 (mailing address contact number: 443-481-6538).

Location: 2003 Medical Pkwy, Annapolis, MD, 04915-4017
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Provider Profile Details
NPI Number
1609874973
Provider Name
Glen R Gibson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2003 Medical Pkwy, Annapolis, MD, 04915-4017
Phone Number
410-266-9966
Fax Number
410-266-6819
Provider Enumeration Date
07/12/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2137029 01 MAMSI
64670901 01 BCBS
64670903 01 BCBS (HOS)
K5850009 01 BCBS DC
102077 01 JHHC
1703604 01 AMERICHOICE
2363265 01 UNITED HEALTHCARE
3758040 01 CIGNA
3943260 01 AETNA HMO
407175105 05 MD
254989 01 KAISER
7105042 01 AETNA PPO
287909 01 AMERIGROUP
145726104 01 FEDERAL WORKMAN'S COMP (ANNE ARUNDEL MEDICAL CENTER)
64670908 01 BCBS
407972800 05 MD
610307700 01 FEDERAL WORKMANS COMP
0001 01 BCBS
64670904 01 BCBS (HOS)
institution
Provider Business Practice Location Address Details
Address
2003 Medical Pkwy
City
State
Zip
21401-7992
Phone Number
410-266-9966
Fax Number
410-266-6819
person
Provider Business Mailing Address Details
Address
Po Box 12622
City
State
Zip
04915-4017
Phone Number
443-481-6538
Fax Number
443-481-6515
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Surgical Oncology
Taxonomy
License No.
D0062550 (Maryland)
Definition
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
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