Individual
ERICA COLAVITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
233 MIDDLE RD, HAZLET, NJ 07730-1957
(732) 335-0900
Mailing address
41 WALLACE RD, MIDDLETOWN, NJ 07748-2926
(732) 299-9294
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00487200
NJ
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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