Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD442950 | PA |
N | 111NI0900X | Internist | MD442950 | PA |
Y | 207RH0000X | Hematologist | MD442950 | PA |
N | 207RH0003X | Hematology & Oncology | 213816 | NY |
N | 207RX0202X | Medical Oncology | MD442950 | PA |
NPI | 1417040528 |
---|---|
Provider Name | Dr. Elizabeth Dianne Pulte |
First Address | Philadelphia, PA 19107-4310 |
Second Address | Philadelphia, PA 19107-4310 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2006 |
Last Update Date | 05/03/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0193054 | (05) | NJ |
102613907 | (05) | PA |