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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DOMENICO COLLETTI JR., PA

Active

DOMENICO COLLETTI JR., PA is a Medical Physician Assistant healthcare provider located in BARNEGAT, New Jersey. NPI 1851805741 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · BARNEGAT, NJ

Registration Details

NPI Number
1851805741
Provider Type
Individual
Gender
Male
NPI Issued
Nov 30, 2017 (8.6964857347901 yrs)
Last Updated
Jun 29, 2023
License
25MP00450700 (NJ)

Practice Information

Address
175 GUNNING RIVER RD BLDG E
BARNEGAT, NJ, 080051436
Browse 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.