Provider Demographics
NPI:1689608440
Name:HERZIG, GAIL M (MD)
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:M
Last Name:HERZIG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45B DISCOVERY WAY
Mailing Address - Street 2:
Mailing Address - City:ACTON
Mailing Address - State:MA
Mailing Address - Zip Code:01720-4482
Mailing Address - Country:US
Mailing Address - Phone:978-429-2010
Mailing Address - Fax:978-264-1935
Practice Address - Street 1:45B DISCOVERY WAY
Practice Address - Street 2:
Practice Address - City:ACTON
Practice Address - State:MA
Practice Address - Zip Code:01720-4482
Practice Address - Country:US
Practice Address - Phone:978-429-2010
Practice Address - Fax:978-264-1935
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2010-11-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA80319207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology