Staci M Resnick
Adolescent Medicine
851 Middle St Suite 1100
Fall River
, Massachusetts 02721-1778
Staci M Resnick
Adolescent Medicine
851 Middle St Suite 1100
Fall River
, Massachusetts 02721-1778
(508) 674-5440
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Staci M Resnick
- 851 Middle St Suite 1100
- Fall River, MA
- Zip : 02721-1778
- Fax : (508) 674-5440
- Phone : (508) 324-6800
Second Address
- Staci M Resnick
- 851 Middle St Suite 1100
- Fall River, MA
- Zip : 02721-1778
- Fax : (508) 674-5440
- Phone : (508) 324-6800
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | 156346 | MA |
National Provider Identifier
| NPI | 1265497879 |
|---|---|
| Provider Name | Staci M Resnick |
| First Address | Fall River, MA 02721-1778 |
| Second Address | Fall River, MA 02721-1778 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/04/2006 |
| Last Update Date | 04/06/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G69769 | (02) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.