MAYA JACKSON-GIBSON

Pediatrics

Active Individual
NPI: 1396263216

Practice Address

3401 CIVIC CENTER BLVD
Philadelphia, PA 19104

Phone: (215) 590-1220

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X No -
Pediatrics 208000000X Yes MT225176 (PA)

Frequently Asked Questions

NPI 1396263216 is the National Provider Identifier for MAYA JACKSON-GIBSON, a Pediatrics provider located in Philadelphia, PA. This NPI was enumerated on August 30, 2017.
MAYA JACKSON-GIBSON practices at 3401 CIVIC CENTER BLVD, Philadelphia, PA 19104.

Quick Facts

NPI
1396263216
Type
Individual
Enumerated
Aug 30, 2017
Last Updated
May 25, 2022

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