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Individual

DR. JOEL STUART RESNICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
7281 DUMOSA AVE, SUITE 1, YUCCA VALLEY, CA 92284-3769
(760) 365-1882
Mailing address
14175 HALF MOON BAY DRIVE, DELMAR, CA 92014-2906
(858) 205-3851
(858) 509-1960

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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