Individual
RICHARD G FERNICOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1451 ROUTE 88, SUITE 5, BRICK, NJ 08724-2371
(732) 660-0202
(732) 660-0233
Mailing address
PO BOX 334, ALLENHURST, NJ 07711-0334
(732) 660-0202
(732) 660-0233
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
MA060824
NJ
Other
Enumeration date
11/06/2006
Last updated
02/18/2010
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