Provider Demographics
NPI:1194875849
Name:BRESNICK, GEORGE HENRY (MD)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:HENRY
Last Name:BRESNICK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:10 CONWELL RD
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01098-9533
Mailing Address - Country:US
Mailing Address - Phone:413-238-7757
Mailing Address - Fax:413-238-7757
Practice Address - Street 1:10 CONWELL RD
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:MA
Practice Address - Zip Code:01098-9533
Practice Address - Country:US
Practice Address - Phone:413-238-7757
Practice Address - Fax:413-238-7757
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA76611207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology