Organization
PAUL F FULFORD PHD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL F FULFORD PHD (OWNER)
(973) 278-1203
Entity
Organization
Contact information
Practice address
100 HAMILTON PLZ, SUITE 1411, PATERSON, NJ 07505-2109
(973) 278-1203
Mailing address
100 HAMILTON PLZ, SUITE 1411, PATERSON, NJ 07505-2109
(973) 278-1203
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00177400
NJ
Other
Enumeration date
01/12/2009
Last updated
01/12/2009
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