Individual
PAUL W BARNICKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
145 WYCKOFF RD STE 301, EATONTOWN, NJ 07724-1887
(848) 208-5250
(732) 935-1590
Mailing address
PO BOX 8000, DEPT 596, BUFFALO, NY 14267-0002
(866) 295-0041
(708) 342-2517
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA04826900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1221701
—
NJ
Enumeration date
03/01/2006
Last updated
09/10/2020
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