Provider Demographics
NPI:1558927392
Name:GIBON, EMMANUEL FRANCK DOMINIQUE (MD, PHD)
Entity Type:Individual
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First Name:EMMANUEL
Middle Name:FRANCK DOMINIQUE
Last Name:GIBON
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Gender:M
Credentials:MD, PHD
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Mailing Address - Street 1:3737 MARKET ST.
Mailing Address - Street 2:8TH FL
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-5547
Mailing Address - Country:US
Mailing Address - Phone:215-662-3340
Mailing Address - Fax:215-222-8878
Practice Address - Street 1:3737 MARKET ST.
Practice Address - Street 2:8TH FL
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-5547
Practice Address - Country:US
Practice Address - Phone:215-662-3340
Practice Address - Fax:215-222-8878
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-16
Last Update Date:2024-01-19
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Provider Licenses
StateLicense IDTaxonomies
PAMD478972207X00000X
MN68923207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery