Individual
DANIEL J FERNICOLA
Active
Individual
DANIEL J FERNICOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D0056653
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0012
BCBS OD DC INDIVIDUAL #
DC
05
—
400180000
—
MD
01
—
4787
BCBS OF DC GROUP NUMBER
DC
01
—
60979301
BCBS OF MD INDIVIDUAL #
MD
01
—
H830
BCBS OD MD GROUP NUMBER
MD
Enumeration date
04/03/2006
Last updated
10/09/2014
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