MEDICARE: DR. PAUL JOSEPH RESIGNATO MD

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	2084P0800X	Psychiatry Physician	25MA11249600	NJ
2	2084P0800X	Psychiatry Physician	MD466264	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1124631767	OTHER		THE ART OF WELLNESS, MD NPI

General Provider Information

NPI Number	:	1649634817
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL JOSEPH RESIGNATO MD

Provider Business Mailing Address
First Line	:	163 EATON DR
Second Line	:
City	:	WAYNE
State	:	PA
Zip	:	19087-3858
Country	:	US
Telephone Number	:	484-321-6977
Fax Number	:

Provider Business Practice Location Address
First Line	:	255 S 17TH ST STE 1608
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19103-6216
Country	:	US
Telephone Number	:	484-321-1697
Fax Number	:	844-868-8138

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

Provider Enumeration Date	:	04/13/2016
Last Update Date	:	03/22/2024

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