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1487723615
RICHARD G FERNICOLA
BRICK, NJ
NPI
1487723615
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
(Licence: NJ MA060824)
Enumeration Date
2006-11-06
Last Update Date
2010-02-18
Business Address
-- RICHARD G FERNICOLA MD
1451 ROUTE 88 SUITE 5
BRICK, NJ 08724-2371
Phone number: 732-660-0202
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Mailing Address
-- RICHARD G FERNICOLA MD
PO BOX 334
ALLENHURST, NJ 07711-0334
Phone number: 732-660-0202
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