Most Relevant Information
Provider Data
| NPI Number: | 1003822784 |
| Provider Name: | BRUCE ROBERT GIBSON M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 208600000X |
| Specialty: | Surgery |
| License Number: | D64840 |
Most Important Dates
| Enumeration Date: | 08/01/2006 |
| Last Updated: | 04/06/2010 |
Provider Practice Location
4940 EASTERN AVE
BALTIMORE
MD
212242735
Practice Location Phone/Fax
| Phone: | 4105500100 |
| Fax: |
Provider Mailing Location
4940 EASTERN AVE
A5E
BALTIMORE
MD
212242735
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |
Suggested EMR
Surgeon EMR