Gracia, Anne-Marie Gizelle
Gracia, Anne-Marie Gizelle is an sole proprietor health care provider with primary practice located at 59 Main St Suite 204, West Orange NJ 07052-5341. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Gracia, Anne-Marie Gizelle can be contacted 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: (973) 243-2441
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | MA58440 | New Jersey |
Profile Details
| NPI number | 1447328018 |
|---|---|
| LBN Legal business name | Gracia, Anne-Marie Gizelle |
| Credentials | M.D., MPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 1st, 2006 |
| Last updated | Mar 21st, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447328018 | NPPES |
| New Jersey | MEDICAID | 6560610 |
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