Provider Demographics
NPI:1003808841
Name:RESNICK, MICHAEL B (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:B
Last Name:RESNICK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 HAMILTON HEALTH PL
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08690-3542
Mailing Address - Country:US
Mailing Address - Phone:609-631-6899
Mailing Address - Fax:609-631-6898
Practice Address - Street 1:1 HAMILTON HEALTH PL
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08690-3542
Practice Address - Country:US
Practice Address - Phone:609-631-6899
Practice Address - Fax:609-631-6898
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA059533207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ17311OtherUNIVERSITY HEALTHPLANS
NJP422659OtherOXFORD HEALTHPLANS
NJ0994674000OtherAMERIHEALTH
NJ2K4038OtherHEALTHNET
NJ37827OtherUS FAMILY HEALTHPLANS
NJ1322897OtherFIRST HEALTH
NJ2746674OtherCIGNA HEALTHCARE
NJ01000571602OtherAMERICHOICE
NJ7142005Medicaid
NJ1173031OtherHORIZON NJ HEALTH
NJ1543193OtherUNITED HEALTHCARE
NJ997190OtherONE HEALTHPLAN
NJ23321OtherAMERIGROUP
NJ3049871OtherAETNA USHC
NJ879969Medicare ID - Type Unspecified
NJ17311OtherUNIVERSITY HEALTHPLANS