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Individual

MARTHA PIMENTEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
PUTNAM PEDIATRICS, 667 STONELEIGH AVENUE, SUIT 111, CARMEL, NY 10512
(845) 279-9652
(845) 279-3606
Mailing address
PUTNAM PEDIATRICS, 667 STONELEIGH AVENUE, SUIT 111, CARMEL, NY 10512
(845) 279-9652
(845) 279-3606

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
236366
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001347063
CT
01
1262509
AETNA US HEALTHCARE
CT
01
1367473
UNITED HEALTHCARE
CT
01
2V8451
HEALTH NET
CT
01
7994115
CIGNA
CT
01
810774517
PHCS
CT
01
P434110
OXFORD
CT
Enumeration date
05/12/2006
Last updated
05/24/2024
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