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1841929411
MIA COLLUCCI
RED BANK, NJ
NPI
1841929411
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
Enumeration Date
2022-06-08
Last Update Date
2022-06-08
Business Address
MIA COLLUCCI PA
282 BROAD ST
RED BANK, NJ 07701-2003
Phone number: 732-842-3600
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Mailing Address
MIA COLLUCCI PA
1309 SW CENTRAL AVE
SEASIDE PARK, NJ 08752-1951
Phone number: 732-685-6037
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