National Provider Identifier

Theodore Inman Putnam, MD

Theodore Inman Putnam, MD is listed in the NPPES registry with a primary specialty of Pediatrics Physician in Buffalo, NY and a listed phone number of (716) 878-7109.

NPI 1760447288Buffalo, NYPediatrics Physician

Profile Overview

NPI
1760447288
Provider Type
Individual
Primary Specialty
Pediatrics Physician
Enumeration Date
April 18, 2006
Last Updated
December 16, 2008

Practice Location

  • 219 Bryant St
  • Buffalo, NY 14222-2006

Phone: (716) 878-7109

Mailing Address

  • 4511 Harlem Road
  • Suite 202
  • Amherst, NY 14226-3822

Specialties

  • Pediatrics Physician (208000000X)
Full Record
NPI
1760447288
Entity Type
Individual
Last Name
Putnam
First Name
Theodore
Middle Name
Inman
Name Prefix
Dr.
Credential
MD
Mailing Street Address
4511 Harlem Road
Mailing Address Line 2
Suite 202
Mailing City
Amherst
Mailing State
NY
Mailing ZIP Code
14226-3822
Mailing Country
US
Mailing Phone
(716) 839-6720
Mailing Fax
(716) 839-6740
Practice Street Address
219 Bryant St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14222-2006
Practice Country
US
Practice Phone
(716) 878-7109
Practice Fax
(716) 888-3874
Enumeration Date
April 18, 2006
Last Updated
December 16, 2008
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatrics Physician (208000000X)
Other Identifiers
00010142001 (Univera), 040426002230 (Fidelis), 0014382740001 (PA), 000503501002 (Bc/Bs), 00639423 (NY), 051028000061 (Univera), 061102000045 (Fidelis), 1211171 (Iha), 000503501004 (Bc/Bs), 000503501005 (Bc/Bs)