National Provider Identifier
Thomas Alan Putnam, MD
Thomas Alan Putnam, MD is listed in the NPPES registry with a primary specialty of Hospice and Palliative Medicine (Family Medicine) Physician in Lakewood, NY and a listed phone number of (716) 338-0033.
Profile Overview
- NPI
- 1598883506
- Provider Type
- Individual
- Primary Specialty
- Hospice and Palliative Medicine (Family Medicine) Physician
- Enumeration Date
- March 27, 2007
- Last Updated
- December 13, 2019
Practice Location
- 20 W Fairmount Ave
- Lakewood, NY 14750-1702
Phone: (716) 338-0033
Specialties
- Hospice and Palliative Medicine (Family Medicine) Physician (207QH0002X)
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1598883506
- Entity Type
- Individual
- Last Name
- Putnam
- First Name
- Thomas
- Middle Name
- Alan
- Credential
- MD
- Mailing Street Address
- 20 W Fairmount Ave
- Mailing City
- Lakewood
- Mailing State
- NY
- Mailing ZIP Code
- 14750-1702
- Mailing Country
- US
- Mailing Phone
- (716) 338-0033
- Practice Street Address
- 20 W Fairmount Ave
- Practice City
- Lakewood
- Practice State
- NY
- Practice ZIP Code
- 14750-1702
- Practice Country
- US
- Practice Phone
- (716) 338-0033
- Enumeration Date
- March 27, 2007
- Last Updated
- December 13, 2019
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- December 13, 2019
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Hospice and Palliative Medicine (Family Medicine) Physician (207QH0002X), Family Medicine Physician (207Q00000X)
- Other Identifiers
- J400082246 (Ptan), 00639487 (NY)