Individual
DR. MICHAEL A. RESNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9501 ROOSEVELT BLVD, SUITE 103, PHILADELPHIA, PA 19114-1025
(215) 671-9900
(215) 671-9110
Mailing address
9501 ROOSEVELT BLVD, SUITE 103, PHILADELPHIA, PA 19114-1025
(215) 671-9900
(215) 671-9110
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
OS003948L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0086025401
—
PA
Enumeration date
07/05/2006
Last updated
07/08/2007
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