Healthcare Provider Details

I. General information

NPI: 1548388655
Provider Name (Legal Business Name): PULLMAN AND ARIZA PEDIATRICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2440 M ST NW #422
WASHINGTON DC
20037-1404
US

IV. Provider business mailing address

2440 M ST NW #422
WASHINGTON DC
20037-1404
US

V. Phone/Fax

Practice location:
  • Phone: 202-466-5350
  • Fax: 202-466-8555
Mailing address:
  • Phone: 202-466-5350
  • Fax: 202-466-8555

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. AMY B PULLMAN
Title or Position: OWNER
Credential: MD
Phone: 202-466-5350