Individual
TATIANA COLLETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
75 VERONICA AVE STE 101, SOMERSET, NJ 08873-5002
(732) 247-7444
Mailing address
75 VERONICA AVE STE 101, SOMERSET, NJ 08873-5002
(732) 247-7444
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00460300
NJ
Other
Enumeration date
01/11/2018
Last updated
10/11/2022
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