Individual provider · Type 1 NPI
Frederick Thomas Gibson
Procedural Dermatology Physician · Jamaica Plain, MA
Practice location
1153 Centre St
Jamaica Plain, MA 02130-3446
Mailing address
60 Charlesgate W Apt 3A
Boston, MA 02215-2103
Other practice locations
- 1740 W Taylor St, Chicago, IL 60612-7232 · (866) 600-2273
- 1 Boston Medical Center Place, Boston, MA 02118 · (617) 638-8000
- 75 Francis St, Boston, MA 02115-6110 · (617) 732-5500
- 2014 Washington St, Newton, MA 02462-1607 · (617) 243-6000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Procedural Dermatology Physician Primary | 207NS0135X | 1023149 (MA) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Internal Medicine Physician | 207R00000X | 289211 (MA) |
Procedural Dermatology Physician: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special t…
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About NPI 1629604483
Frederick Thomas Gibson's National Provider Identifier is 1629604483, issued on Mar 12, 2020. The primary taxonomy on file is Procedural Dermatology Physician (207NS0135X), and the practice location is in Jamaica Plain, MA. The record was last updated on Nov 17, 2025.