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Putul P Rogowski

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NPI Number Detailed Information

Provider Information:

Name: Putul P Rogowski
Gender: M
Provider License Number If Given: 101051548

NPI Information:

NPI: 1346235892
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/12/2005

Last Update Date: 10/29/2007

Provider Business Mailing Address:

Address: PO BOX 3543
Williamsburg, VA 23187
Phone Number: 7572596622
Fax Number: 7572596597

Provider Business Practice Location Address:

Address: 301 MONTICELLO AVE ANESTHESIA DEPT
Williamsburg, VA 23185
Phone Number: 7573454135
Fax Number: 7572596597

Provider Taxonomy:

Primary: 207L00000X
Secondary (if any):
State: VA

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