MEDICARE: DR. PHILIP D PULASKI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	MD13366	DC

General Provider Information

NPI Number	:	1013989938
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PHILIP D PULASKI MD

Provider Business Mailing Address
First Line	:	8555 16TH ST
Second Line	:	SUITE 310
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-2816
Country	:	US
Telephone Number	:	301-562-7200
Fax Number	:	301-565-6771

Provider Business Practice Location Address
First Line	:	2021 K ST NW STE 210
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20006-1003
Country	:	US
Telephone Number	:	301-562-7200
Fax Number	:	202-429-8957

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/03/2006
Last Update Date	:	03/09/2022

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