Individual
DR. VINCENT JOSEPH FUSELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
199 MAIN STREET, WOODBRIDGE, NJ 07095
(732) 636-6165
(732) 636-6172
Mailing address
199 MAIN STREET, WOODBRIDGE, NJ 07095
(732) 636-6165
(732) 636-6172
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35S100118000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1646206
—
NJ
Enumeration date
02/09/2007
Last updated
07/08/2007
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