Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FREDERICK THOMAS GIBSON
ActiveFREDERICK THOMAS GIBSON is a Procedural Dermatology healthcare provider located in JAMAICA PLAIN, Massachusetts. NPI 1629604483 is currently active in the NPPES registry. Verify at CMS.
Procedural Dermatology · JAMAICA PLAIN, MA
Registration Details
- NPI Number
- 1629604483
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 12, 2020 (6.4351077613259 yrs)
- Last Updated
- Nov 17, 2025
- Licenses
-
1023149 (MA)289211 (MA)
Practice Information
- Address
-
1153 CENTRE STJAMAICA PLAIN, MA, 021303446Browse MA providers · Browse ZIP 02130
- Phone
- 6179837000
- Primary Specialty
-
Procedural Dermatology
207NS0135X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Internal Medicine
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.