| Dr Peter Douglas Gibbons, MD | |
|
17 Belmont Ave, Brattleboro, VT 05301 | |
| (802) 257-0115 | |
| (802) 257-8849 |
| Full Name | Dr Peter Douglas Gibbons |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 17 Belmont Ave, Brattleboro, Vermont |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639239312 | NPI | - | NPPES |
| 00004779 | Other | VT | BLUE SHIELD |
| 03-0239725 | Other | VT | COMMERCIAL |
| 0004779 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 042-0004180 (Vermont) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Peter Douglas Gibbons, MD 17 Belmont Ave., Brattleboro, VT 05301 Ph: (802) 257-8360 | Dr Peter Douglas Gibbons, MD 17 Belmont Ave, Brattleboro, VT 05301 Ph: (802) 257-0115 |
Dr. Edward F. Elliott Jr., M.D. Radiology Medicare: Medicare Enrolled Practice Location: 17 Belmont Ave, Brattleboro, VT 05301 Phone: 802-257-8820 Fax: 802-257-8849 | |
Walter Wagenknecht, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 17 Belmont Ave, Brattleboro, VT 05301 Phone: 800-655-3603 | |
Mariusz Paluch, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 17 Belmont Ave, Brattleboro, VT 05301 Phone: 603-650-4371 |