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Contact Information

FRED T PULIDO JR, MD
1213 VIRGINIA ST E
THIRD FLOOR
CHARLESTON, WV25301-2908
 Phone: 304-345-5466
 Fax: 304-345-5472
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for FRED T PULIDO JR · (Male)

NPI Number 1114986031
Status Active
Credentials MD
Entity Individual
Enumeration date 03/20/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • WV License # 10371
  • WV Medicaid 0114257000
  • WV Other 0359506 CIGNA
  • WV Other 225394 MAMSI
  • WV Other 3572755200 U.S. DEPT. OF LABOR
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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