Individual
DR. JEROME STUART PUTNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5530 WISCONSIN AVE, SUITE 800, CHEVY CHASE, MD 20815-4404
(301) 652-2311
(301) 656-6971
Mailing address
5530 WISCONSIN AVE, SUITE 800, CHEVY CHASE, MD 20815-4404
(301) 652-2311
(301) 656-6971
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
D0014111
MD
207RP1001X
Pulmonary Disease Physician
MD4804
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04811305
—
DC
Enumeration date
08/30/2006
Last updated
04/08/2009
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