Individual
DR. ERIC L PUTNOI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 HOPE AVENUE, SUITE 212, WALTHAM, MA 02453
(781) 894-2020
(781) 891-7936
Mailing address
20 HOPE AVENUE, SUITE 212, WALTHAM, MA 02453
(781) 894-2020
(781) 891-7936
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
223727
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2105586
—
MA
01
—
494180
TUFTS HEALTH PLAN
MA
01
—
AA45657
HARVARD PILGRIM HEALTH CA
MA
Enumeration date
10/31/2005
Last updated
12/26/2012
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