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Individual

MOHAN KARISANKAPPA PUTTASWAMY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MBBS

Contact information

Practice address
95 W SQUANTUM ST, 111, ARCHSTONE QUINCY, QUINCY, MA 02171-2123
(716) 598-5664
Mailing address
95 W SQUANTUM ST, 111, ARCHSTONE QUINCY, QUINCY, MA 02171-2123
(716) 598-5664

Taxonomy

Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
31386
ZZ
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
31386
ZZ

Other

Enumeration date
01/04/2012
Last updated
03/20/2013
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