Individual provider · Type 1 NPI

James Gibson, PA-C

Surgical Physician Assistant · Wethersfield, CT

NPI number 1295191864 Active

Practice location

1290 Silas Deane Hwy
Wethersfield, CT 06109-4337

Mailing address

36 Woodvale Ave
Kings Park, NY 11754-1028

Other practice locations

  • 111 E 210th St, Bronx, NY 10467-2401 · (718) 920-4321

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X019387 (NY)

Surgical Physician Assistant: Definition to come...

22 other providers at this address

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About NPI 1295191864

James Gibson, PA-C's National Provider Identifier is 1295191864, issued on Jan 12, 2016. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Wethersfield, CT. The record was last updated on Jul 12, 2023.