Individual
DANIELLE PUTNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
85 SEYMOUR ST STE 919, HARTFORD, CT 06106-5528
(860) 972-2145
Mailing address
3 MEADOWLANDS, GUILFORD, CT 06437-4707
(203) 631-9199
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
5461
CT
363A00000X
Physician Assistant
Primary
5461
CT
Other
Enumeration date
10/25/2021
Last updated
12/01/2021
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