Provider Demographics
NPI:1972773752
Name:ROGERS, GAIL F
Entity type:Individual
Prefix:MS
First Name:GAIL
Middle Name:F
Last Name:ROGERS
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:GAIL
Other - Middle Name:F
Other - Last Name:DUFFY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:111 3RD ST
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02155-5045
Mailing Address - Country:US
Mailing Address - Phone:781-396-3496
Mailing Address - Fax:
Practice Address - Street 1:6 ECHO AVE
Practice Address - Street 2:
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-2417
Practice Address - Country:US
Practice Address - Phone:978-927-7070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-07
Last Update Date:2008-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist