Organization
VINCENT J FUSELLA PHD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT J FUSELLA PH.D. (PRESIDENT)
(732) 636-6165
Entity
Organization
Contact information
Practice address
ONE WOODBRIDGE CENTER, SUITE 505, WOODBRIDGE, NJ 07095
(732) 636-6165
(732) 636-6172
Mailing address
ONE WOODBRIDGE CENTER, SUITE 505, WOODBRIDGE, NJ 07095
(732) 636-6165
(732) 636-6172
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35SI00118000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1646206
—
NJ
Enumeration date
10/05/2011
Last updated
10/05/2011
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