Provider Demographics
NPI:1013989938
Name:PULASKI, PHILIP D (MD)
Entity type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:D
Last Name:PULASKI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8555 16TH ST
Mailing Address - Street 2:SUITE 310
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-2816
Mailing Address - Country:US
Mailing Address - Phone:301-562-7200
Mailing Address - Fax:301-565-6771
Practice Address - Street 1:2021 K ST NW STE 210
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-1003
Practice Address - Country:US
Practice Address - Phone:301-562-7200
Practice Address - Fax:202-429-8957
Is Sole Proprietor?:No
Enumeration Date:2006-02-03
Last Update Date:2022-03-09
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Provider Licenses
StateLicense IDTaxonomies
DCMD133662084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
B93477Medicare UPIN