Individual provider · Type 1 NPI

Patrick R. Gibson, PA-C, MHP

Medical Physician Assistant · Enfield, CT

NPI number 1861406597 Active

Practice location

701 Enfield St
Enfield, CT 06082-2961

Call (860) 741-6058 Map

Fax (413) 733-5860

Mailing address

280 Chestnut St Fl 2
Springfield, MA 01199-1001

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5858 (CT)
Physician Assistant 363A00000X510 (MA)
Physician Assistant 363A00000XPA510 (MA)

Medical Physician Assistant: Definition to come...

15 other providers at this address

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About NPI 1861406597

Patrick R. Gibson, PA-C, MHP's National Provider Identifier is 1861406597, issued on Jul 28, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Enfield, CT. The record was last updated on May 15, 2026.