Provider Demographics
NPI:1447011929
Name:FUZIA, MICHELE
Entity type:Individual
Prefix:
First Name:MICHELE
Middle Name:
Last Name:FUZIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 SAUNDERS LN
Mailing Address - Street 2:
Mailing Address - City:HACKETTSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07840-5531
Mailing Address - Country:US
Mailing Address - Phone:908-377-0282
Mailing Address - Fax:855-368-5322
Practice Address - Street 1:41 SAUNDERS LN
Practice Address - Street 2:
Practice Address - City:HACKETTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07840-5531
Practice Address - Country:US
Practice Address - Phone:908-377-0282
Practice Address - Fax:855-368-5322
Is Sole Proprietor?:No
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst