Organization Name: | DOUGLAS T GIBBENS MD LLC |
NPI Number: | 1104097682 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DOUGLAS T GIBBENS (PRESIDENT) |
Mailing Address: | 766 Shrewsbury Ave Suite 207 Tinton Falls |
State: | NJ US |
Postal Code: | 077243001 |
Phone Number: | 7325308989 |
Fax Number: | 7325306365 |
NPI Enumeration Date: | 03/12/2008 |
NPI Last Update Date: | 03/12/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | MA06225500 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |