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Contact Information

ERIC GIBSON, MD
1600 ROCKLAND ROAD
PROVIDER ENROLLMENT DEPT
WILMINGTON, DE19732-0191
 Phone: 302-651-6212
 Fax: 302-651-4945
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ERIC GIBSON · (Male)

NPI # 1467537548
Status Active
Credentials MD
Entity Individual
Enumeration date 10/26/2006
Last updated 10/06/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME127936
  • PA License # MD032476E
  • FL Medicaid 017688600
  • MD Medicaid 1398091
  • NJ Medicaid 988804
  • NY Medicaid 1272426
  • PA Medicaid 1117920
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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