Provider Demographics
NPI:1275747529
Name:PUTTGEN, KATHERINE BROWN (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:BROWN
Last Name:PUTTGEN
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Gender:F
Credentials:MD
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Mailing Address - Street 1:200 N WOLFE ST UNIT 2107
Mailing Address - Street 2:PEDIATRIC DERMATOLOGY, JOHNS HOPKINS HOSPITAL
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21287-0011
Mailing Address - Country:US
Mailing Address - Phone:443-615-4653
Mailing Address - Fax:410-614-9308
Practice Address - Street 1:HARRIET LANE CHILDRENS BUILDING
Practice Address - Street 2:200 NORTH WOLFE STREET, LOWER LEVEL
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-0001
Practice Address - Country:US
Practice Address - Phone:410-955-2049
Practice Address - Fax:410-614-9308
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2017-01-26
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Provider Licenses
StateLicense IDTaxonomies
MDD0065611207NP0225X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207NP0225XAllopathic & Osteopathic PhysiciansDermatologyPediatric Dermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD014070800Medicaid
MD014070800Medicaid