Tara A. Nicoletta-Gajano, PA
Surgical PA · Brick, NJ
UnclaimedPANPI 1427222710
- Primary taxonomy
- 363AS0400X
- Enumerated
- 2008-04-17
- Practice location
- Brick, NJ
- Last NPPES update
- 2024-03-06
State licenses
- NJ · Physician assistant · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.