Individual
STEPHEN D FERNICOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8901 ROCKVILLE PIKE, BUILDING 1, 19TH FLOOR ROOM 19107, BETHESDA, MD 20889-0001
(301) 295-0537
Mailing address
100 BREWSTER BLVD DEPT OF, CAMP LEJEUNE, NC 28547-2575
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101264557
VA
207X00000X
Orthopaedic Surgery Physician
VA0101264557
VA
Other
Enumeration date
04/17/2014
Last updated
02/25/2025
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