Individual provider · Type 1 NPI

Ksenia Putintseva, MD

Student in an Organized Health Care Education/Training Program · Brighton, MA

NPI number 1932670528 Active

Practice location

736 Cambridge St
Brighton, MA 02135-2907

Mailing address

225 Fallon Rd Apt 191
Stoneham, MA 02180-2904

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

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 1932670528

Ksenia Putintseva, MD's National Provider Identifier is 1932670528, issued on Dec 8, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brighton, MA. The record was last updated on Dec 8, 2018.