# DR. NEIL JASON RESNICK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1386614337
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0202X | Diagnostic Radiology Physician | 1015938 | MA | — |
| 2085R0202X | Diagnostic Radiology Physician | EC081049 | ME | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | 1015938 | MA | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | 263565-1 | NY | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | 82171 | GA | — |
| 208D00000X | General Practice Physician | 0101237373 | VA | — |

## Other

- **Enumeration date:** 01/24/2006
- **Last updated:** 05/18/2023