Gibbons, Thomas J

Gibbons, Thomas J is an individual health care provider with primary practice located at 8 Auer Ct , East Brunswick NJ 08816-5846. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Gibbons, Thomas J can be contacted via phone (732) 254-2609.

Contact Information

Primary practice address
8 Auer Ct East Brunswick NJ 08816-5846
Fax: (732) 238-6269
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X MD001948 New Jersey

Profile Details

NPI number 1154315703
LBN Legal business name Gibbons, Thomas J
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Jan 17th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154315703 NPPES
New Jersey MEDICAID 4602501

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