Gibson, Douglas W

Gibson, Douglas W is an individual health care provider with primary practice located at 263 Farmington Ave Radiology, Farmington CT 06030-2803. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Gibson, Douglas W can be contacted via phone (860) 679-2784.

Contact Information

Primary practice address
263 Farmington Ave Radiology Farmington CT 06030-2803
Phone: (860) 679-2784
Fax: (860) 679-4126
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X 017099 Connecticut
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 017099 Connecticut

Profile Details

NPI number 1447245030
LBN Legal business name Gibson, Douglas W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Sep 26th, 2022 - about 2 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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