Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 9129 | NH |
NPI | 1396774097 |
---|---|
Provider Name | Ronald B Resnick |
First Address | Concord, NH 03301-2551 |
Second Address | Concord, NH 03301-2551 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2006 |
Last Update Date | 02/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
30006842 | (05) | NH |
F81307 | (02) |