Organization
RICHARD G. FERNICOLA, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD FERNICOLA MD (OWNER. PHYSICIAN)
(732) 660-0202
Entity
Organization
Contact information
Practice address
1451 ROUTE 88, SUITE 5, BRICK, NJ 08724-2371
(732) 785-9552
(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
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
25MA06082400
NJ
Other
Enumeration date
05/22/2007
Last updated
08/22/2020
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