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NPI Code Detail

MEDICARE: VANESSA COULSON PA

MEDICARE: VANESSA COULSON PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantNJ

General Provider Information

NPI Number : 1255299335
Entity Type Code : Individual
Provider Name (Legal Business Name) : VANESSA COULSON PA
Provider Business Mailing Address
First Line : 58 N MAIN ST
Second Line :
City : MARLBORO
State : NJ
Zip : 07746-1451
Country : US
Telephone Number : 848-837-5242
Fax Number :
Provider Business Practice Location Address
First Line : 58 N MAIN ST
Second Line :
City : MARLBORO
State : NJ
Zip : 07746-1451
Country : US
Telephone Number : 848-837-5242
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2026
Last Update Date : 01/15/2026

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Directions to “ VANESSA COULSON PA” Practice Location

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