Individual
RAYMOND S RESNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
740 HIGH ST STE 2001, WILLIAMSPORT, PA 17701-3102
(570) 321-2800
(570) 321-3351
Mailing address
1201 GRAMPIAN BLVD, WILLIAMSPORT, PA 17701-1900
(570) 326-8723
(570) 326-8540
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD062250L
PA
207RI0011X
Interventional Cardiology Physician
Primary
MD062250L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013441070001
—
PA
Enumeration date
09/14/2005
Last updated
06/11/2024
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