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Contact Information

VINCENT J FUSELLA PHD PC
ONE WOODBRIDGE CENTER
SUITE 505
WOODBRIDGE TOWNSHIP, NJ07095
 Phone: 732-636-6165
 Fax: 732-636-6172
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for VINCENT J FUSELLA PHD PC · (Female)

NPI # 1255615571
Status Active
Credentials
Entity Individual
Enumeration date 10/05/2011
Last updated 10/05/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • NJ License # 35SI00118000
  • NJ Medicaid 1646206
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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