Organization · Type 2 NPI

Gizelle Manoah, Pc, Inc

Clinic/Center · West Orange, NJ

NPI number 1225394075 Active

Practice location

59 Main St, Suite 204
West Orange, NJ 07052-5341

Mailing address

PO Box 3122, Memorial Station
Upper Montclair, NJ 07043-3122

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XMA58440 (NJ)

Clinic/Center: 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).

14 other providers at this address

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About NPI 1225394075

Gizelle Manoah, Pc, Inc's National Provider Identifier is 1225394075, issued on Apr 5, 2012. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in West Orange, NJ. The record was last updated on Apr 5, 2012.