Healthcare Provider Details

I. General information

NPI: 1922060847
Provider Name (Legal Business Name): DAVID CHARLES PULEO DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/05/2006
Last Update Date: 01/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1910 COCHRAN RD
PITTSBURGH PA
15220-1102
US

IV. Provider business mailing address

1910 COCHRAN RD
PITTSBURGH PA
15220-1102
US

V. Phone/Fax

Practice location:
  • Phone: 412-571-0330
  • Fax: 412-571-2025
Mailing address:
  • Phone: 412-571-0330
  • Fax: 412-571-2025

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberSC003021L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: