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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

NPI # 1255615571
LBN Legal business name VINCENT J FUSELLA PHD PC
Authorized official VINCENT FUSELLA - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/05/2011
Last updated 10/05/2011 - About 8 years ago
Identifiers
NJ License # 35SI00118000
NJ Medicaid 1646206
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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