NPI | 1407391782 |
---|---|
Former Legal Business Name | JEFFREY G RESNICK, DPM |
Entity Type | Organization |
Authorized Contact | JEFFREY G RESNICK Owner 978-772-4115 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0131X Podiatrist Foot Surgery (Licence: MA 1682) |
Enumeration Date | 2016-12-22 |
Last Update Date | 2016-12-28 |