Individual
DR. FRED T. PULIDO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1213 VIRGINIA ST E, THIRD FLOOR, CHARLESTON, WV 25301-2908
(304) 345-5466
(304) 345-5472
Mailing address
1213 VIRGINIA ST E, THIRD FLOOR, CHARLESTON, WV 25301-2908
(304) 345-5466
(304) 345-5472
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
10371
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0114257000
—
WV
01
—
0359506
CIGNA
WV
01
—
225394
MAMSI
WV
01
—
3572755200
U.S. DEPT. OF LABOR
WV
Enumeration date
03/20/2006
Last updated
07/13/2026
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