Individual
DR. PHILLIP J. RESNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11100 EUCLID AVE., CLEVELAND, OH 44106
(216) 844-3415
(216) 844-1703
Mailing address
1100 EUCLID AVE., CLEVELAND, OH 44106
(216) 844-3415
(216) 844-1703
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
026834
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000115450
ANTHEM
OH
Enumeration date
10/04/2006
Last updated
07/08/2007
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