MEDICARE: DR. CLAUDE RESIL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	159900	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639150592
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CLAUDE RESIL M.D.

Provider Business Mailing Address
First Line	:	PO BOX 366251
Second Line	:
City	:	HYDE PARK
State	:	MA
Zip	:	02136-0023
Country	:	US
Telephone Number	:	617-298-8304
Fax Number	:	617-298-8300

Provider Business Practice Location Address
First Line	:	2110 DORCHESTER AVE
Second Line	:	SETON MEDICAL BUILDING, SUITE 205
City	:	DORCHESTER
State	:	MA
Zip	:	02124-5628
Country	:	US
Telephone Number	:	617-298-8304
Fax Number	:	617-298-8300

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2005
Last Update Date	:	10/16/2024

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Directions to “ DR. CLAUDE RESIL M.D.” Practice Location

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