# RICHARD G. FERNICOLA, MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922217108
- **Authorized official:** DR. RICHARD FERNICOLA MD (OWNER. PHYSICIAN)
- **Authorized official phone:** (732) 660-0202

## Contact information

- **Practice address:** 1451 ROUTE 88, SUITE 5, BRICK, NJ 08724-2371
- **Practice address phone:** (732) 785-9552
- **Practice address fax:** (732) 660-0233
- **Mailing address:** PO BOX 334, ALLENHURST, NJ 07711-0334
- **Mailing address phone:** (732) 660-0202
- **Mailing address fax:** (732) 660-0233

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 25MA06082400 | NJ | Yes |

## Other

- **Enumeration date:** 05/22/2007
- **Last updated:** 08/22/2020