Individual
DR. NICOLE MAE MCGRATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
10 BROAD ST, BLOOMFIELD, NJ 07003-2524
(973) 744-7003
(973) 744-7008
Mailing address
10 BROAD ST, BLOOMFIELD, NJ 07003-2524
(973) 744-7003
(973) 744-7008
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
NJDI17834
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6204601
—
NJ
Enumeration date
05/23/2008
Last updated
04/21/2020
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