Individual
SCOTT RANDOLPH CERESNAK
Active
Individual
SCOTT RANDOLPH CERESNAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RA0002X
Adult Congenital Heart Disease Physician
A103868
CA
207RC0000X
Cardiovascular Disease Physician
A103868
CA
207RC0001X
Clinical Cardiac Electrophysiology Physician
A103868
CA
208000000X
Pediatrics Physician
A103868
CA
2080P0202X
Pediatric Cardiology Physician
Primary
A103868
CA
Other
Enumeration date
03/22/2007
Last updated
04/11/2024
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