Individual
FREDERICK J RESCORLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
705 RILEY HOSPITAL DR, STE 2500, INDIANAPOLIS, IN 46202-5109
(317) 274-4681
(317) 274-4491
Mailing address
705 RILEY HOSPITAL DR, STE 2500, INDIANAPOLIS, IN 46202-5109
(317) 274-4681
(317) 274-4491
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
01031794A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100086480
—
IN
Enumeration date
01/24/2006
Last updated
01/27/2021
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