Organization
DR W.B. PUTTERMAN, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM B PUTTERMAN O.D. (OWNER)
(215) 483-3400
Entity
Organization
Contact information
Practice address
6155 RIDGE AVE, PHILADELPHIA, PA 19128-2627
(215) 483-3400
(215) 483-7401
Mailing address
6155 RIDGE AVE, PHILADELPHIA, PA 19128-2627
(215) 483-3400
(215) 483-7401
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000083
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01543805
—
PA
Enumeration date
09/15/2008
Last updated
12/08/2011
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