Individual provider · Type 1 NPI

Tara Aniela Nicoletta-Gajano, PA

Surgical Physician Assistant · Brick, NJ

NPI number 1427222710 Active

Practice location

1610 Route 88 Ste 203
Brick, NJ 08724-3018

Call (732) 840-3339 Map

Mailing address

3600 Route 66 Fl 3
Neptune, NJ 07753-2645

Other practice locations

  • 99 Beauvoir Ave, Medical Staff Office, Summit, NJ 07901-3533 · (908) 522-5337

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X25MP000542 (NJ)

Surgical Physician Assistant: Definition to come...

3 other providers at this address

Other surgical physician assistant providers in Brick

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About NPI 1427222710

Tara Aniela Nicoletta-Gajano, PA's National Provider Identifier is 1427222710, issued on Apr 17, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Brick, NJ. The record was last updated on Mar 6, 2024.