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Mia Collucci, PA
Medical Physician Assistant in Red Bank, New Jersey
NPI 1841929411

Mia Collucci is a Medical Physician Assistant based in Seaside Park, NJ and is specialized in Medical. Mia Collucci practices in Red Bank, NJ and has the professional credentials of PA. The NPI Number for Mia Collucci is 1841929411 and holds a License No. (New Jersey).

The current practice location address for Mia Collucci is 282 Broad St, Red Bank, NJ and can be reached out via phone at 732-842-3600.

Location: 282 Broad St, Red Bank, NJ, 08752-1951
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841929411
Provider Name
Mia Collucci
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
282 Broad St, Red Bank, NJ, 08752-1951
Phone Number
732-842-3600
Fax Number
Provider Enumeration Date
06/08/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
282 Broad St
City
Red Bank
State
New Jersey
Zip
07701-2003
Phone Number
732-842-3600
Fax Number
person
Provider Business Mailing Address Details
Address
282 Broad St
City
Red Bank
State
New Jersey
Zip
07701-2003
Phone Number
732-842-3600
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
()
Definition
Definition to come...
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