Individual
DOMENICO COLLETTI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
175 GUNNING RIVER RD BLDG E, BARNEGAT, NJ 08005-1436
(609) 926-8899
(609) 660-8052
Mailing address
2099 NEW ALBANY RD, CINNAMINSON, NJ 08077-3534
(609) 926-8899
(856) 772-1997
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00450700
NJ
Other
Enumeration date
11/30/2017
Last updated
06/29/2023
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