Provider Demographics
NPI:1437239555
Name:GIBBONS, BARBRA F (DC)
Entity Type:Individual
Prefix:DR
First Name:BARBRA
Middle Name:F
Last Name:GIBBONS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 JEFFERSON RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054
Mailing Address - Country:US
Mailing Address - Phone:973-887-0860
Mailing Address - Fax:973-887-2230
Practice Address - Street 1:601 JEFFERSON RD
Practice Address - Street 2:SUITE 102
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054
Practice Address - Country:US
Practice Address - Phone:973-887-0860
Practice Address - Fax:973-887-2230
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ3133111N00000X
FL5481111N00000X
NY4824111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
510947Medicare ID - Type Unspecified
U57206Medicare UPIN