Provider Demographics
NPI:1720826787
Name:PUTA, ERINDA
Entity type:Individual
Prefix:
First Name:ERINDA
Middle Name:
Last Name:PUTA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:VIA MONTE NERO 10
Mailing Address - Street 2:
Mailing Address - City:NOVARA
Mailing Address - State:NOVARA
Mailing Address - Zip Code:28100
Mailing Address - Country:IT
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:VIA MONTE NERO 10
Practice Address - Street 2:
Practice Address - City:NOVARA
Practice Address - State:NOVARA
Practice Address - Zip Code:28100
Practice Address - Country:IT
Practice Address - Phone:003-934-7404
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-16
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ4279207U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207U00000XAllopathic & Osteopathic PhysiciansNuclear Medicine