Provider Demographics
NPI:1912962044
Name:NEWEL, GAIL JANZEN (MD)
Entity Type:Individual
Prefix:DR
First Name:GAIL
Middle Name:JANZEN
Last Name:NEWEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:GAIL
Other - Middle Name:MARIE
Other - Last Name:JANZEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1221 FULTON MALL
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93721-1915
Mailing Address - Country:US
Mailing Address - Phone:559-600-3200
Mailing Address - Fax:559-255-4210
Practice Address - Street 1:1221 FULTON MALL
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93721-1915
Practice Address - Country:US
Practice Address - Phone:559-600-3200
Practice Address - Fax:559-255-4210
Is Sole Proprietor?:No
Enumeration Date:2006-04-20
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG62822207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
E75087Medicare UPIN
CA00G628220Medicare PIN