Individual
NICOLE COLUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
347 MOUNT PLEASANT AVE STE 205, WEST ORANGE, NJ 07052-2749
(973) 571-2121
Mailing address
347 MOUNT PLEASANT AVE STE 205, WEST ORANGE, NJ 07052-2749
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/20/2016
Last updated
06/20/2016
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