Individual provider · Type 1 NPI

Max Mathew Puthenpura, MD

Student in an Organized Health Care Education/Training Program · New Brunswick, NJ

NPI number 1659959252 Active

Practice location

1 Robert Wood Johnson Pl
New Brunswick, NJ 08901-1928

Call (732) 235-7664 Map

Mailing address

125 Paterson Street, Meb 486
New Brunswick, NJ 08901

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Internal Medicine Physician 207R00000X25MA13187800 (NJ)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1659959252

Max Mathew Puthenpura, MD's National Provider Identifier is 1659959252, issued on Apr 2, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New Brunswick, NJ. The record was last updated on Oct 21, 2026.