Whalio Doctors

NPI 1003822784

Bruce Robert Gibson, MD

Practitioner Surgery Physician Baltimore, MD

Practice location

Address
4940 Eastern Ave, Baltimore, MD 21224-2735
Phone
(410) 550-0100
Mailing address
4940 Eastern Ave A5e, Baltimore, MD 21224-2735

Registered specialties (2)

Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence D64840 (MD)
Critical Care Medicine (Anesthesiology) Physician
Allopathic & Osteopathic Physicians Taxonomy 207LC0200X Licence D64840 (MD)

Registry record

NPI
1003822784
Entity type
Individual
Sex (as registered)
Male
NPI issued
1 Aug 2006
Record last updated
6 Apr 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.