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Individual

DR. ARUN PUTHUSSERIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
128 W MARKET ST, SCRANTON, PA 18508-1948
(516) 233-8721
Mailing address
128 W MARKET ST, SCRANTON, PA 18508-1948

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD476405
PA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
10/15/2018
Last updated
06/10/2022
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