Healthcare Provider Details

I. General information

NPI: 1992842215
Provider Name (Legal Business Name): RESMI P NAIR D.M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 GROVE ST
ORANGE MA
01364-1009
US

IV. Provider business mailing address

9 GROVE ST
ORANGE MA
01364-1009
US

V. Phone/Fax

Practice location:
  • Phone: 978-544-3515
  • Fax: 978-544-2104
Mailing address:
  • Phone: 978-544-3515
  • Fax: 978-544-2104

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number20384
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: