Gwen Melisa Fulo

NPI 1003904103 - Physical Therapist - 2251X0800X

NPI Details
NPI 1003904103
Gender Female
Enumeration Date 10/11/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2033 MORRIS AVE
UNION NJ, 07083-6013, US
Phone (908) 688-5641
Fax (908) 688-7038
Business Location
21 WOODWARD LN
BASKING RIDGE NJ, 07920-2718, US
Phone
Fax
Toxanomy
Taxonomy Code 2251X0800X
License State New Jersey
License Number 40QA00891900
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According to our database, Gwen Melisa Fulo NPI is 1003904103, taxonomy code is 2251X0800X and license number is 40QA00891900, license state is located at New Jersey. Gwen Melisa Fulo physically located at 2033 Morris Ave, Union NJ, 07083-6013. NPI Number Gwen Melisa Fulo has the Individual type.

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1003904103 NPI number is provided on an as is basis without warranty of any kind. 1003904103 is maintained by the National Plan & Provider Enumeration System. The contents of Gwen Melisa Fulo are for informational purposes only.