Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOMENICO COLLETTI JR., PA
ActiveMedical Physician Assistant · BARNEGAT, NJ
Registration Details
- NPI Number
- 1851805741
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 30, 2017 (8.3913759914964 yrs)
- Last Updated
- Jun 29, 2023
- License
-
25MP00450700 (NJ)
Practice Information
- Address
-
175 GUNNING RIVER RD BLDG EBARNEGAT, NJ, 080051436Browse NJ providers · Browse ZIP 08005
- Phone
- 6099268899
- Fax
- 6096608052
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.