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Organization

PUTNAM CARDIO PULMONARY SERVICES, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MADDIPOTI J CHOUDRY M.D. (PRESIDENT)
(845) 279-2209
Entity
Organization

Contact information

Practice address
112 CLOCK TOWER COMMONS, BLDG 1, BREWSTER, NY 10509-4055
(845) 279-2209
Mailing address
112 CLOCK TOWER COMMONS, BLDG 1, BREWSTER, NY 10509-4055
(845) 279-2209

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
129945
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
W12511
MEDICARE ID
NY
Enumeration date
10/31/2007
Last updated
10/31/2007
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