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Contact Information

EDWIN T PULASKI, MD
10215 FERNWOOD RD
STE 50
BETHESDA, MD20817
 Phone: 301-564-1053
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Body Imaging

2085B0100X
 

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for EDWIN T PULASKI · (Male)

NPI # 1255315479
Status Active
Credentials MD
Entity Individual
Enumeration date 12/01/2005
Last updated 05/15/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • MD License # D0015047
  • NC License # 9601446
  • NC Medicaid 891115H
  • SC Medicaid Q01446
  • VA Medicaid 7200099
  • WV Medicaid 2004964000
  • Other 5612683 AETNA
  • Other 1115H BCBS
  • Other 78270 MEDCOST
  • Other 28411 PARTNERS
  • Other 300130864 RR MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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