Individual
MR. DOMINIC JOHN NICOLETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
65 JAMES ST, EDISON, NJ 08820-3947
(732) 321-7000
Mailing address
144 NORTON ST, SOUTH AMBOY, NJ 08879-2260
(732) 882-4763
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00882300
NJ
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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