Gizelle Manoah, Pc, Inc

LBN: Gizelle Manoah, Pc, Inc
Gizelle Manoah, Pc, Inc is an health care organization with primary practice located at 59 Main St Suite 204, West Orange NJ 07052-5341. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Gizelle Manoah, Pc, Inc can be contacted via phone (973) 243-0220, or through Gracia, Anne-Marie Gizelle via phone (973) 243-0220.

Contact Information

Primary practice address
59 Main St Suite 204 West Orange NJ 07052-5341
Phone: (973) 243-0220
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gracia, Anne-Marie Gizelle Doctor of Medicine (MD)
Phone: (973) 243-0220

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X MA58440 New Jersey

Profile Details

NPI number 1225394075
LBN Legal business name Gizelle Manoah, Pc, Inc
DBA Doing business as
Authorized official Gracia, Anne-Marie Gizelle Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 5th, 2012
Last updated Apr 5th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225394075 NPPES
New Jersey MEDICAID 6560610

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