Provider Demographics
NPI:1609282540
Name:RESO CORPORATION
Entity Type:Organization
Organization Name:RESO CORPORATION
Other - Org Name:RESO YOUR LIFE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:
Authorized Official - Last Name:EMERY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-296-5400
Mailing Address - Street 1:10 TOWER OFFICE PARK
Mailing Address - Street 2:SUITE 420
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01801-2182
Mailing Address - Country:US
Mailing Address - Phone:855-678-7376
Mailing Address - Fax:
Practice Address - Street 1:10 TOWER OFFICE PARK
Practice Address - Street 2:SUITE 420
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-2182
Practice Address - Country:US
Practice Address - Phone:855-678-7376
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-10
Last Update Date:2014-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty
No133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Multi-Specialty