Provider Demographics
NPI:1922060847
Name:PULEO, DAVID CHARLES (DPM)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:CHARLES
Last Name:PULEO
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1910 COCHRAN RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15220-1102
Mailing Address - Country:US
Mailing Address - Phone:412-571-0330
Mailing Address - Fax:412-571-2025
Practice Address - Street 1:1910 COCHRAN RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15220-1102
Practice Address - Country:US
Practice Address - Phone:412-571-0330
Practice Address - Fax:412-571-2025
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-05
Last Update Date:2011-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC003021L213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA403475OtherBLUE SHIELD
PA403475OtherBLUE SHIELD
PA403475Medicare ID - Type Unspecified