Provider Demographics
NPI:1891767893
Name:PULEIO, DONNA VINCENE (MD)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:VINCENE
Last Name:PULEIO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:P
Other - Last Name:SPADARO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:100 FAIRFIELD DR
Mailing Address - Street 2:
Mailing Address - City:SENECA
Mailing Address - State:PA
Mailing Address - Zip Code:16346-2130
Mailing Address - Country:US
Mailing Address - Phone:814-676-7900
Mailing Address - Fax:814-676-7887
Practice Address - Street 1:100 FAIRFIELD DR
Practice Address - Street 2:
Practice Address - City:SENECA
Practice Address - State:PA
Practice Address - Zip Code:16346-2130
Practice Address - Country:US
Practice Address - Phone:814-676-7900
Practice Address - Fax:814-676-7887
Is Sole Proprietor?:No
Enumeration Date:2006-02-03
Last Update Date:2014-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD039540E207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0013993270007Medicaid
PA1347736OtherHIGHMARK BLUE SHIELD
PAP00952376OtherPALMETTO PA MEDICARE
F07419Medicare UPIN
PAP00952376OtherPALMETTO PA MEDICARE
PA1347736OtherHIGHMARK BLUE SHIELD
PA0013993270007Medicaid