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1164496519
MARIEGRACE WITHAM
EAST ORANGE, NJ
NPI
1164496519
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NJ 25MB06436600)
Enumeration Date
2006-02-14
Last Update Date
2019-02-01
Business Address
Dr. MARIEGRACE WITHAM D.O.
385 TREMONT AVE
EAST ORANGE, NJ 07018-1023
Phone number: 973-676-1000
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Mailing Address
Dr. MARIEGRACE WITHAM D.O.
5 MCDONOUGH ST
MONTCLAIR, NJ 07042-4210
Phone number: 973-509-8256
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