Individual
MARYANN T PUTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042
(703) 776-3582
(703) 776-2917
Mailing address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-3582
(703) 776-2917
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101232656
VA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
0101232656
VA
207RP1001X
Pulmonary Disease Physician
0101232656
VA
Other
Enumeration date
02/21/2008
Last updated
05/15/2018
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