Individual
DR. CORY M RESNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, DMD
Contact information
Practice address
300 LONGWOOD AVE., BOSTON CHILDREN'S HOSPITAL, DPT. OF PLASTIC & ORAL SURG, BOSTON, MA 02171
(617) 355-6082
(617) 738-1657
Mailing address
300 LONGWOOD AVE., BOSTON CHILDREN'S HOSPITAL, DPT. OF PLASTIC & ORAL SURG, BOSTON, MA 02171
(617) 355-6082
(617) 738-1657
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DN21469
MA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
8458
MA
Other
Enumeration date
11/03/2005
Last updated
06/01/2020
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