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Individual

DR. GERALD M RESNICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
117 LANDING LANE, ELKTEN, MD 21921-0464
(410) 398-7077
(410) 392-9544
Mailing address
117 LANDING LANE, ELKTEN, MD 21921-0464
(410) 398-7077
(410) 392-9544

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TAO618
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
900641
MD
Enumeration date
04/19/2006
Last updated
07/26/2010
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