Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | 3182 | NJ |
NPI | 1437270618 |
---|---|
Provider Name | Dr. Annamarie Resnikoff |
First Address | East Brunswick, NJ 08816-3338 |
Second Address | East Brunswick, NJ 08816-3338 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2007 |
Last Update Date | 08/07/2007 |