Individual
JOHN PUTHENPURACKAL JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1885 MARKET ST, WARREN, PA 16365-1277
(814) 723-5545
(814) 723-6355
Mailing address
1885 MARKET ST, WARREN, PA 16365-1277
(814) 723-5545
(814) 723-6355
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD051025L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001599598
—
PA
Enumeration date
07/11/2006
Last updated
03/05/2026
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