Frederick T Gibson
Dermatology, Procedural Dermatology in Jamaica Plain, Massachusetts
1629604483- Practice location
- 1153 Centre St, Jamaica Plain, MA 02130-3446
- Phone
- 617-983-7000
- Fax
- —
- Last updated
- November 17, 2025
Frederick Thomas Gibson is a Dermatology, Procedural Dermatology based in Jamaica Plain, MA. Frederick Thomas Gibson practices in Jamaica Plain, MA. The NPI Number for Frederick Thomas Gibson is 1629604483 and holds a License No. 1023149 (MA). The current practice location address for Frederick Thomas Gibson is 1153 Centre St, Jamaica Plain, MA 02130-3446 and can be reached out via phone at 617-983-7000.
Provider Profile Details
- NPI Number
- 1629604483
- Provider Name
- Frederick Thomas Gibson
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1153 Centre St, Jamaica Plain, MA 02130-3446
- Phone Number
- 617-983-7000
- Primary Taxonomy
- Dermatology, Procedural Dermatology · 207NS0135X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 12, 2020
- Last Update Date
- November 17, 2025
- Certification Date
- November 17, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1153 Centre St
Jamaica Plain, MA 02130-3446 - City
- Jamaica Plain
- State
- Massachusetts
- Zip
- 02130-3446
- Phone Number
- 617-983-7000
Provider Business Mailing Address Details
- Address
- 60 Charlesgate W Apt 3A
Boston, MA 02215-2103 - City
- Boston
- State
- MA
- Zip
- 02215-2103
License Information
- License Number (1)
- 1023149
- License State (1)
- MA
- Taxonomy (1)
- Dermatology, Procedural Dermatology · 207NS0135X · Primary
- Taxonomy (2)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (3)
- 289211
- License State (3)
- MA
- Taxonomy (3)
- Internal Medicine · 207R00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Frederick T Gibson?
The NPI number of Frederick T Gibson is 1629604483. It was assigned on March 12, 2020 and is currently active in the NPPES registry.
What is the specialty of Frederick T Gibson?
Frederick T Gibson is registered under the primary taxonomy Dermatology, Procedural Dermatology (code 207NS0135X), licensed in MA under license number 1023149.
Where does Frederick T Gibson practice?
The practice location is 1153 Centre St, Jamaica Plain, MA 02130-3446. The office can be reached at 617-983-7000 (phone).
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 1629604483 directly on the NPPES registry website.