Provider Demographics
NPI:1538882725
Name:RESNIK, JOSH (MS, CCP)
Entity type:Individual
Prefix:MR
First Name:JOSH
Middle Name:
Last Name:RESNIK
Suffix:
Gender:M
Credentials:MS, CCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 MADERA AVE
Mailing Address - Street 2:
Mailing Address - City:SAN CARLOS
Mailing Address - State:CA
Mailing Address - Zip Code:94070-2936
Mailing Address - Country:US
Mailing Address - Phone:650-206-0038
Mailing Address - Fax:
Practice Address - Street 1:500 PASTEUR DR # K264
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1048
Practice Address - Country:US
Practice Address - Phone:650-206-0038
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-22
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes242T00000XTechnologists, Technicians & Other Technical Service ProvidersPerfusionist