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Individual

DR. ANDREW TYLER PUTNAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 737-4353
(203) 785-3712
Mailing address
PO BOX 208028, 333 CEDAR STREET, NEW HAVEN, CT 06520-8028
(203) 737-4353
(203) 785-3712

Taxonomy

Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
51376
CT
207RH0003X
Hematology & Oncology Physician
33037
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080176087
RAILROAD MEDICARE
DC
Enumeration date
12/15/2005
Last updated
10/17/2012
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