Individual
DR. JONATHAN RESNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
31-00 BROADWAY, FAIR LAWN, NJ 07410-3963
(201) 796-2255
(201) 796-7020
Mailing address
31-00 BROADWAY, FAIR LAWN, NJ 07410-3963
(201) 796-2255
(201) 796-3711
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MA072245
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1K6966
HEALTHNET
NJ
05
—
8574600
—
NJ
01
—
BP273
OXFORD HEALTH PLANS
NJ
Enumeration date
01/03/2007
Last updated
10/18/2017
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