Healthcare Provider Details
I. General information
NPI: 1659347003
Provider Name (Legal Business Name): CHRISTOPHER J PUTNEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/27/2006
Last Update Date: 05/09/2025
Certification Date: 05/09/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
505 HISTORIC DR
STRASBURG PA
17579-1123
US
IV. Provider business mailing address
505 HISTORIC DR
STRASBURG PA
17579-1123
US
V. Phone/Fax
- Phone: 717-687-0313
- Fax: 717-687-3604
- Phone: 717-687-0313
- Fax: 717-687-3604
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | MDO61345L |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: