Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | MD13366 | DC |
NPI | 1013989938 |
---|---|
Provider Name | Philip D Pulaski |
First Address | Silver Spring, MD 20910-2816 |
Second Address | Washington, DC 20037-1810 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/02/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B93477 | (02) |