Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TIMOTHY E GIBSON, M.D.
ActivePediatrics · WORCESTER, MA
Registration Details
- NPI Number
- 1336120062
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 9, 2005 (20.447376014237 yrs)
- Last Updated
- Nov 8, 2020
- Licenses
-
212163 (MA)212163 (MA)
Practice Information
- Address
-
55 LAKE AVE NDEPARTMENT OF PEDIATRIC HOSPITALIST MEDICINEWORCESTER, MA, 016550002Browse MA providers · Browse ZIP 01655
- Phone
- 5088563590
- Fax
- 5088567989
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Pediatrics
Other Pediatrics Providers in WORCESTER, MA
| Name | Credential | NPI |
|---|---|---|
| DR. CATHERINE ANNE RIORDAN | MD | 1952305997 |
| INDRANI MALKANI | MD | 1659378883 |
| DR. ERIN MARIE MCMASTER | M.D. | 1700871845 |
| DR. HEATHER C FORKEY | M.D. | 1942291208 |
| DR. MARK ALAN VINING | MD | 1407838642 |
| DR. WILLIAM W WOODRUFF | M.D. | 1679555817 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.