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Gizelle Manoah, Pc, Inc
Clinic/Center in West Orange, New Jersey
NPI 1225394075

Gizelle Manoah, Pc, Inc is a Clinic/Center based in Upper Montclair, NJ. Gizelle Manoah, Pc, Inc practices in West Orange, NJ. The NPI Number for Gizelle Manoah, Pc, Inc is 1225394075 and holds a License No. MA58440 (New Jersey).

The current practice location address for Gizelle Manoah, Pc, Inc is 59 Main St, West Orange, NJ and can be reached out via phone at 973-243-0220. You can also correspond with Gizelle Manoah, Pc, Inc through the mailing address at PO BOX 3122, UPPER MONTCLAIR, NJ - 07043-3122 (mailing address contact number: 973-243-0220).

Location: 59 Main St, West Orange, NJ, 07043-3122
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225394075
Provider Name
Gizelle Manoah, Pc, Inc
Credential
Provider Entity Type
Organization
Address
59 Main St, West Orange, NJ, 07043-3122
Phone Number
973-243-0220
Fax Number
Provider Enumeration Date
04/05/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6560610 05 NJ
institution
Provider Business Practice Location Address Details
Address
59 Main St
City
West Orange
State
New Jersey
Zip
07052-5341
Phone Number
973-243-0220
Fax Number
person
Provider Business Mailing Address Details
Address
59 Main St
City
West Orange
State
New Jersey
Zip
07052-5341
Phone Number
973-243-0220
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
MA58440 (New Jersey)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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