Provider Demographics
NPI:1841509783
Name:FIEN, GAIL (OTR/L)
Entity type:Individual
Prefix:
First Name:GAIL
Middle Name:
Last Name:FIEN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1559 N EAST AVE
Mailing Address - Street 2:
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08360-2525
Mailing Address - Country:US
Mailing Address - Phone:856-691-6017
Mailing Address - Fax:856-692-3004
Practice Address - Street 1:760 S DELSEA DR
Practice Address - Street 2:BCV SUITE 300
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-4613
Practice Address - Country:US
Practice Address - Phone:856-690-0946
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-27
Last Update Date:2010-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00226700251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health