NPI 1720158934 · live from the CMS NPI Registry
Erica J Gibson, MD
Pediatrics, Adolescent Medicine in Burlington, VT. National Provider Identifier 1720158934, active.
NPI record
| NPI | 1720158934 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Adolescent Medicine 2080A0000X |
| Practice location | 1 S Prospect St, 3rd Floor, Burlington, VT 05401 |
| Practice phone | 802-847-4696 |
| Enumerated | November 8, 2006 |
| Last updated | June 5, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics | 208000000X | 231907 (NY) |
| Pediatrics, Adolescent Medicine primary | 2080A0000X | 0420012903 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.