Individual provider · Type 1 NPI

Mia Collucci, PA

Medical Physician Assistant · Red Bank, NJ

NPI number 1841929411 Active

Practice location

282 Broad St
Red Bank, NJ 07701-2003

Call (732) 842-3600 Map

Mailing address

1309 SW Central Ave
Seaside Park, NJ 08752-1951

Other practice locations

  • 250 Maple Pl, Keyport, NJ 07735-1144 · (732) 351-7000

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

5 other providers at this address

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About NPI 1841929411

Mia Collucci, PA's National Provider Identifier is 1841929411, issued on Jun 8, 2022. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Red Bank, NJ. The record was last updated on Jun 8, 2022.