NPI 1003964628

Charles P Fernicola MD PC

Organisation Urology Physician Manahawkin, NJ

Practice location

Address: 1145 Beacon Ave, Manahawkin, NJ 08050-2471
Phone: (609) 597-1991
Fax: (609) 597-8198

Authorised official

Name: Michele M Kennedy
Title: Office Manager
Phone: (609) 597-1991

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X

Other Urology providers in New Jersey →

Registry record

NPI: 1003964628
Entity type: Organization
NPI issued: 8 Jan 2007
Record last updated: 5 Jun 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.