Individual
CHARLES D RESOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-2913
Mailing address
70 FRANCIS ST, BOSTON, MA 02115-6134
(857) 307-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
263385
NY
207RC0000X
Cardiovascular Disease Physician
255919
MA
207RI0011X
Interventional Cardiology Physician
255919
MA
Other
Enumeration date
05/11/2009
Last updated
04/11/2018
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