Individual
PAUL S PUTTERMAN
Active
Individual
PAUL S PUTTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
AP9426772
NC
208D00000X
General Practice Physician
24284
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2323842
GROUP MEDICARE PTAN
NC
01
—
37011930
MEDICARE RAILROAD PTAN
NC
01
—
DE0112
GROUP MEDICARE RAILROAD PTAN
NC
Enumeration date
03/24/2006
Last updated
10/25/2023
Update your record
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