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Individual
DR. JOEL STUART RESNICK
Active
Individual
DR. JOEL STUART RESNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E-2177
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E-2177
LICENSE
CA
01
—
E2177
MEDICARE PTAN
CA
01
—
P00140360
RAILROAD PALMETTO PROVIDER
CA
Enumeration date
04/11/2006
Last updated
05/02/2013
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