Individual
DR. CHRISTINE MARIE PUTHAWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
73559
CT
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
1018693
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110211438A
—
MA
Enumeration date
06/21/2011
Last updated
12/12/2024
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