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Contact Information

CHARLES P FERNICOLA, MD
1145 BEACON AVE
MANAHAWKIN, NJ08050-2471
 Phone: 609-597-1991
 Fax: 609-597-8198
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for CHARLES P FERNICOLA · (Male)

NPI Number 1063472694
Status Active
Credentials MD
Entity Individual
Enumeration date 03/27/2006
Last updated 03/14/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA04460500
  • NJ Medicaid 3131602
Hospital affiliation(s)
  • ATLANTICARE REGIONAL MEDICAL CENTER - CITY DIV - (Acute Care)
    1925 PACIFIC AVE
    ATLANTIC CITY, NJ 08401
  • COMMUNITY MEDICAL CENTER - (Acute Care)
    99 RT 37 WEST
    TOMS RIVER, NJ 08755
  • JERSEY SHORE UNIVERSITY MEDICAL CENTER - (Acute Care)
    1945 RTE 33
    NEPTUNE, NJ 07754
  • SOUTHERN OCEAN MEDICAL CENTER - (Acute Care)
    1140 RT 72 W
    MANAHAWKIN, NJ 08050
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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