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Individual

GWEN MELISA FULO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2033 MORRIS AVE, UNION, NJ 07083-6013
(908) 688-5641
(908) 688-7038
Mailing address
21 WOODWARD LN, BASKING RIDGE, NJ 07920-2718

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
40QA00891900
NJ

Other

Enumeration date
10/11/2006
Last updated
07/08/2007
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