Putnoi, Eric L

Putnoi, Eric L is an sole proprietor health care provider with primary practice located at 20 Hope Avenue Suite 212, Waltham MA 02453. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Putnoi, Eric L can be contacted via phone (781) 894-2020.

Contact Information

Primary practice address
20 Hope Avenue Suite 212 Waltham MA 02453
Phone: (781) 894-2020
Fax: (781) 891-7936
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 223727 Massachusetts

Profile Details

NPI number 1538150487
LBN Legal business name Putnoi, Eric L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2005
Last updated Dec 26th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538150487 NPPES
Massachusetts Other 494180 TUFTS HEALTH PLAN
Massachusetts MEDICAID 2105586 TUFTS HEALTH PLAN
Massachusetts Other AA45657 TUFTS HEALTH PLAN

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