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NPI Code Detail

MEDICARE: GAIL M HERZIG MD

MEDICARE: GAIL M HERZIG MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0100XGastroenterology Physician80319MA

General Provider Information

NPI Number : 1689608440
Entity Type Code : Individual
Provider Name (Legal Business Name) : GAIL M HERZIG MD
Provider Business Mailing Address
First Line : 45B DISCOVERY WAY
Second Line :
City : ACTON
State : MA
Zip : 01720-4482
Country : US
Telephone Number : 978-429-2010
Fax Number : 978-264-1935
Provider Business Practice Location Address
First Line : 45B DISCOVERY WAY
Second Line :
City : ACTON
State : MA
Zip : 01720-4482
Country : US
Telephone Number : 978-429-2010
Fax Number : 978-264-1935
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2006
Last Update Date : 11/18/2010

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Directions to “ GAIL M HERZIG MD” Practice Location

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