TARA ANIELA NICOLETTA-GAJANO

BRICK, NJ
NPI1427222710
Former NameTARA ANIELA NICOLETTA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: NJ  25MP000542)
Enumeration Date2008-04-17
Last Update Date2024-03-06
Business Address
Mrs. TARA ANIELA NICOLETTA-GAJANO PA
1610 ROUTE 88 STE 203
BRICK, NJ 08724-3018
Phone number: 732-840-3339
Mailing Address
Mrs. TARA ANIELA NICOLETTA-GAJANO PA
3600 ROUTE 66 FL 3
NEPTUNE, NJ 07753-2645
Phone number: