DR. MARIEGRACE WITHAM D.O. NPI 1164496519

NPI Information

NPI: 1164496519
Provider Name: DR. MARIEGRACE WITHAM, D.O.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
385 TREMONT AVE
EAST ORANGE, NJ
ZIP 07018
Phone: (973) 676-1000
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DR. Mariegrace Witham, D.O. is a family medicine in East Orange, NJ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Mariegrace Witham, D.O. NPI is 1164496519. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

385 TREMONT AVE
EAST ORANGE, NJ
ZIP 07018-023
Phone: (973) 676-1000

The enumeration date for this NPI number is 2/14/2006 and was last updated on 2/1/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		25MB06436600	NEW JERSEY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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