| 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 (Licence: MA 1682) |
| Enumeration Date | 2016-12-22 |
| Last Update Date | 2016-12-28 |