Provider Demographics
NPI:1457440018
Name:PUSKAS, JOHN D (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:D
Last Name:PUSKAS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:550 PEACHTREE ST NE
Mailing Address - Street 2:6TH FLOOR
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308-2247
Mailing Address - Country:US
Mailing Address - Phone:404-686-2513
Mailing Address - Fax:404-686-4959
Practice Address - Street 1:550 PEACHTREE ST NE
Practice Address - Street 2:6TH FLOOR
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308-2247
Practice Address - Country:US
Practice Address - Phone:404-686-2513
Practice Address - Fax:404-686-4959
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA038072208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA02BDDBSMedicare ID - Type Unspecified
GAG27433001Medicare UPIN