Individual
DALE S PUTNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 BOSTON MEDICAL CENTER PLACE, BOSTON, MA 02118
(617) 638-6950
(617) 638-6966
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
263351
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110124271A
—
MA
05
—
3120767
—
NH
Enumeration date
05/27/2008
Last updated
04/30/2026
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