Individual
DR. ANNE-MARIE GIZELLE GRACIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., MPH
Contact information
Practice address
59 MAIN ST, SUITE 204, WEST ORANGE, NJ 07052-5341
(973) 243-0220
(973) 243-2441
Mailing address
PO BOX 3122, MEMORIAL STATION, UPPER MONTCLAIR, NJ 07043-3122
(973) 243-0220
(973) 243-2441
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MA58440
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6560610
—
NJ
Enumeration date
12/01/2006
Last updated
03/21/2008
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