Individual
FREDERIC SCOTT RESNIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
41 MALL RD, LAHEY CLINIC, BURLINGTON, MA 01805-0001
(781) 744-8000
(781) 744-5261
Mailing address
41 MALL RD, LAHEY CLINIC, BURLINGTON, MA 01805-0001
(781) 744-8000
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
202956
MA
207RI0011X
Interventional Cardiology Physician
Primary
202956
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110002784A
—
MA
Enumeration date
05/12/2006
Last updated
07/21/2014
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