Individual provider · NPI-1

Joseph Putprush, MD

Pathology, Clinical Pathology/Laboratory Medicine · Wilkes Barre, PA

NPI number1750346029
StatusActive
Last updated in NPPESMay 22, 2008

Details

NPI
1750346029
Entity type
Individual (NPI-1)
Name
Joseph Putprush
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Apr 19, 2006
Last updated
May 22, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207ZP0105X Pathology, Clinical Pathology/Laboratory MedicineMD019559EPAYes

Practice location

575 N River St
Wilkes Barre, PA 18764-0999

Phone 570-829-8111

Mailing address

Po Box 1476
Kingston, PA 18704-0476

Phone 570-714-5525 · Fax 570-714-5548

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