SearchNew Jersey101YA0400X

Michelle Fumosa, LCADC, ICADC, CCS

NPI 1306596093 · on the registry since 2022

Practice

Address
222 Memorial Pkwy
Bloomfield, NJ 07003
Phone
(973) 534-4923

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-07-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey