EDWARD BROOKE GIBSON

PHILADELPHIA, PA
NPI1790305944
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: PA  SP021857)
Enumeration Date2020-04-17
Last Update Date2020-04-17
Business Address
Mr. EDWARD BROOKE GIBSON CPNP-AC
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104-4319
Phone number: 800-879-2467
Mailing Address
Mr. EDWARD BROOKE GIBSON CPNP-AC
214 W BROOKHAVEN RD
BROOKHAVEN, PA 19015-1638
Phone number: 504-957-0319
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