Dr. Jacqueline A Gibbes
Pediatrician
1000 Broadway
Chelsea
, Massachusetts 02150-2247
Dr. Jacqueline A Gibbes
Pediatrician
1000 Broadway
Chelsea
, Massachusetts 02150-2247
(617) 887-2794
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About
Features
Specialties
- Pediatrician
Languages spoken
- English
Location
First Address
- Dr. Jacqueline A Gibbes
- 1000 Broadway
- Chelsea, MA
- Zip : 02150-2247
- Fax : (617) 887-2794
- Phone : (617) 660-6600
Second Address
- Dr. Jacqueline A Gibbes
- 1000 Broadway
- Chelsea, MA
- Zip : 02150-2247
- Fax : (617) 887-2794
- Phone : (617) 660-6600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 49818 | MA |
National Provider Identifier
| NPI | 1003997420 |
|---|---|
| Provider Name | Dr. Jacqueline A Gibbes |
| First Address | Chelsea, MA 02150-2247 |
| Second Address | Chelsea, MA 02150-2247 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/10/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3003167 | (05) | MA |
| 99220101 | NETWORK HEALTH (01) | MA |
| E02023 | (02) | MA |
| E05924 | BLUE CROSS BLUE SHIELD (01) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.