Dr. Mariegrace Witham, DO
Family Medicine in East Orange, New Jersey
1164496519- Practice location
- 385 Tremont Ave, East Orange, NJ 07018-1023
- Phone
- 973-676-1000
- Fax
- —
- Last updated
- February 1, 2019
Mariegrace Witham is a Family Medicine based in East Orange, NJ. Mariegrace Witham practices in East Orange, NJ and has the professional credentials of DO. The NPI Number for Mariegrace Witham is 1164496519 and holds a License No. 25MB06436600 (NJ). The current practice location address for Mariegrace Witham is 385 Tremont Ave, East Orange, NJ 07018-1023 and can be reached out via phone at 973-676-1000.
Provider Profile Details
- NPI Number
- 1164496519
- Provider Name
- Mariegrace Witham
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 385 Tremont Ave, East Orange, NJ 07018-1023
- Phone Number
- 973-676-1000
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 14, 2006
- Last Update Date
- February 1, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 385 Tremont Ave
East Orange, NJ 07018-1023 - City
- East Orange
- State
- New Jersey
- Zip
- 07018-1023
- Phone Number
- 973-676-1000
Provider Business Mailing Address Details
- Address
- 5 Mcdonough St
Montclair, NJ 07042-4210 - City
- Montclair
- State
- NJ
- Zip
- 07042-4210
- Phone Number
- 973-509-8256
License Information
- License Number
- 25MB06436600
- License State
- NJ
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Mariegrace Witham, DO?
The NPI number of Dr. Mariegrace Witham, DO is 1164496519. It was assigned on February 14, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Mariegrace Witham, DO?
Dr. Mariegrace Witham, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number 25MB06436600.
Where does Dr. Mariegrace Witham, DO practice?
The practice location is 385 Tremont Ave, East Orange, NJ 07018-1023. The office can be reached at 973-676-1000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164496519 directly on the NPPES registry website.