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:
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Health care specialties

SpecialtyCodeLicense #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 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447328018 NPPES
New Jersey MEDICAID 6560610

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