Most Relevant Information
Provider Data
| NPI Number: | 1003234345 |
| Provider Name: | PETER PUTHENVEETIL M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/03/2014 |
| Last Updated: | 01/31/2018 |
Provider Practice Location
1201 LANGHORNE NEWTOWN RD
LANGHORNE
PA
190471201
Practice Location Phone/Fax
| Phone: | 2157012100 |
| Fax: |
Provider Mailing Location
1027 ARCH ST APT 709
PHILADELPHIA
PA
191072328
Provider Mailing Phone/Fax
| Phone: | 2197769035 |
| Fax: |