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Individual
DR. NICHOLAS HERKIMER PUTNAM
Active
Individual
DR. NICHOLAS HERKIMER PUTNAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G27562
CA
2084P0804X
Child & Adolescent Psychiatry Physician
G27562
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G0027562
—
CA
Enumeration date
01/12/2007
Last updated
09/11/2025
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