Individual
DR. MICHAEL B PUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
707 E. MAIN ST., MIDDLETOWN, NY 10940
(854) 333-1445
Mailing address
3998 FAIR RIDGE DR, SUITE 300, FAIRFAX, VA 22033-2921
(703) 295-9360
(703) 295-9360
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA05602000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00847829
—
NY
Enumeration date
03/09/2006
Last updated
03/26/2015
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