Individual
BENJAMIN DAVID PUTNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
375 DIXMYTH AVE, CINCINNATI, OH 45220
(513) 862-2475
(513) 862-3421
Mailing address
4685 FOREST AVE, CINCINNATI, OH 45212-3397
(513) 853-4722
(513) 852-8525
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2018-01941
NC
207R00000X
Internal Medicine Physician
Primary
35-133317
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0153540
—
OH
Enumeration date
06/12/2013
Last updated
11/10/2023
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