Pulaski, Edwin Thomas
Pulaski, Edwin Thomas is an individual health care provider with primary practice located at 10215 Fernwood Rd Ste 50, Bethesda MD 20817. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Pulaski, Edwin Thomas can be contacted via phone (301) 564-1053.Contact Information
Primary practice address
10215 Fernwood Rd Ste 50
Bethesda MD 20817
Phone: (301) 564-1053
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | 9601446 | North Carolina |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 9601446 | North Carolina |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 9601446 | North Carolina |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | D0015047 | Maryland |
Profile Details
| NPI number | 1255315479 |
|---|---|
| LBN Legal business name | Pulaski, Edwin Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2005 |
| Last updated | May 15th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255315479 | NPPES |
| Other | 78270 | MEDCOST | |
| MEDICAID | 2004964000 | MEDCOST | |
| Other | 5612683 | MEDCOST | |
| MEDICAID | 7200099 | MEDCOST | |
| MEDICAID | 891115H | MEDCOST | |
| Other | 1115H | MEDCOST | |
| Other | 28411 | MEDCOST | |
| Other | 300130864 | MEDCOST | |
| MEDICAID | Q01446 | MEDCOST |
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