Individual
PRUUSHOTAM PURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
WRIGHT STREET, PALMER, MA 01069
(413) 283-7651
Mailing address
21 BITTERSWEET LN, WILBRAHAM, MA 01095-2208
(413) 283-7651
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
36989
MA
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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