Individual
COREY TODD RESNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4710 PUDDLEDOCK RD STE 100, PRINCE GEORGE, VA 23875-1269
(804) 732-0095
Mailing address
4710 PUDDLEDOCK RD STE 100, PRINCE GEORGE, VA 23875-1269
(804) 732-0095
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
0101281366
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2017
Last updated
08/12/2024
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