Individual
DR. JAMES L. FOSSHAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
16 POPLAR RD, DEMAREST, NJ 07627-1310
(201) 768-3924
(201) 750-1616
Mailing address
16 POPLAR RD, DEMAREST, NJ 07627-1310
(201) 768-3924
(201) 750-1616
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35S100081100
NJ
Other
Enumeration date
03/12/2008
Last updated
03/12/2008
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