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1598883506 NPI number — THOMAS ALAN PUTNAM MD

NPI Number: 1598883506
Health Care Provider/Practitioner: THOMAS ALAN PUTNAM MD

Information about “1598883506” NPI (THOMAS ALAN PUTNAM MD) exists in 1598883506 in HTML format HTML  |  1598883506 in plain Text format TXT  |  1598883506 in PDF (Portable Document Format) PDF  |  1598883506 in an XML format XML  formats.

NPI Number : 1598883506 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1598883506",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PUTNAM",
    "FirstName": "THOMAS",
    "MiddleName": "ALAN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "20 W FAIRMOUNT AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAKEWOOD",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "14750-1702",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "716-338-0033",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "20 W FAIRMOUNT AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LAKEWOOD",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "14750-1702",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "716-338-0033",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/27/2007",
    "LastUpdateDate": "12/13/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207QH0002X",
          "TaxonomyName": "Hospice and Palliative Medicine (Family Medicine) Physician",
          "LicenseNumber": "154630-2",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "154630",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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