DR. Ansu Mathew Punnoose, D.O.

NPI #1235496233 in Fulton, Maryland

Provider Information

NPI Number: 1235496233
Entity Type: Individual
Name: DR. Ansu Mathew Punnoose, D.O.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: D.O.
Enumeration Date: Apr 13, 2012
Last Updated: Oct 9, 2023

Practice Location

Address: 8175 WESTSIDE BLVD STE D
City: Fulton
State: Maryland
ZIP Code: 20759-2708
Phone: (240) 580-2650

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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