Provider Demographics
NPI:1932136298
Name:PUTNAM, ADIN T II (MD)
Entity Type:Individual
Prefix:
First Name:ADIN
Middle Name:T
Last Name:PUTNAM
Suffix:II
Gender:M
Credentials:MD
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Mailing Address - Street 1:280 CHESTNUT STREET
Mailing Address - Street 2:2ND FL
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01199-1001
Mailing Address - Country:US
Mailing Address - Phone:423-794-5700
Mailing Address - Fax:423-794-1629
Practice Address - Street 1:2 MEDICAL CENTER DRIVE
Practice Address - Street 2:SUITE 301
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01107-1270
Practice Address - Country:US
Practice Address - Phone:413-794-8020
Practice Address - Fax:413-794-2165
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2018-01-24
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Provider Licenses
StateLicense IDTaxonomies
MA2731962086S0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN103I027700Medicare PIN