Most Relevant Information
Provider Data
| NPI Number: | 1003040676 |
| Provider Name: | CHARLES D RESOR |
| Entity Type: | Individual |
| Taxonomy Code: | 207RC0000X |
| Specialty: | Internal Medicine |
| License Number: | 255919 |
Most Important Dates
| Enumeration Date: | 05/11/2009 |
| Last Updated: | 04/11/2018 |
Provider Practice Location
622 W 168TH ST
NEW YORK
NY
100323720
Practice Location Phone/Fax
| Phone: | 2123052913 |
| Fax: |
Provider Mailing Location
70 FRANCIS ST
BOSTON
MA
021156134
Provider Mailing Phone/Fax
| Phone: | 8573074000 |
| Fax: |
Suggested EMR
Internist EMR