Charles P Fernicola MD PC

NPI #1003964628 in Manahawkin, New Jersey

Provider Information

NPI Number: 1003964628
Entity Type: Organization
Organization Name: Charles P Fernicola MD PC
Primary Specialty: Urology
Enumeration Date: Jan 8, 2007
Last Updated: Jun 5, 2009

Practice Location

Address: 1145 BEACON AVE
City: Manahawkin
State: New Jersey
ZIP Code: 08050-2471
Phone: (609) 597-1991

Authorized Official

Name: MS. MICHELE M KENNEDY
Title: OFFICE MANAGER
Phone: (609) 597-1991

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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