Individual
JON RODNEY RESAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-3116
Mailing address
PO BOX 64250, BALTIMORE, MD 21264-4250
(410) 502-0550
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
D38228
MD
207RI0011X
Interventional Cardiology Physician
Primary
D38228
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
544021100
—
MD
Enumeration date
06/12/2006
Last updated
03/16/2015
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