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Individual

DR. NEIL JASON RESNICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-3850
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
1015938
MA
2085R0202X
Diagnostic Radiology Physician
EC081049
ME
2085R0204X
Vascular & Interventional Radiology Physician
Primary
1015938
MA
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
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