Provider Demographics
NPI:1992894281
Name:PUTTERMAN, CHAIM (MD)
Entity type:Individual
Prefix:
First Name:CHAIM
Middle Name:
Last Name:PUTTERMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:18 HAMPTON CT
Mailing Address - Street 2:
Mailing Address - City:BERGENFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07621-3905
Mailing Address - Country:US
Mailing Address - Phone:718-430-2078
Mailing Address - Fax:718-430-8789
Practice Address - Street 1:FORC L LEINER 701N DIV OF RHEU
Practice Address - Street 2:1300 MORRIS PARK AVENUE
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461
Practice Address - Country:US
Practice Address - Phone:718-430-2078
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY197819207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology