Individual
DR. MARK A PUTNAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
716 N PARK RD, WYOMISSING, PA 19610-2912
(610) 375-0544
Mailing address
716 N PARK RD, WYOMISSING, PA 19610-2912
(610) 375-0544
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD42459L
PA
Other
Enumeration date
06/06/2006
Last updated
07/13/2010
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