Individual
VICKY FIEDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1505 WEST SHERMAN AVENUE, INSPIRA MEDICAL CENTER VINELAND, VINELAND, NJ 08060
(856) 651-4945
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPARTMENT, ROCKLAND, DE 19732-0191
(302) 651-6212
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
25MA04144000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4223080 00
—
MD
05
—
7793502
—
NJ
Enumeration date
01/17/2006
Last updated
09/17/2014
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