| NPI | 1922217108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD FERNICOLA Owner. Physician 732-660-0202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NJ 25MA06082400) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |