Individual
JOSE ETHAN PULIDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 INDUSTRIAL BLVD BLDG C STE 120, PAOLI, PA 19301
(610) 647-3660
(610) 644-2165
Mailing address
211 S GULPH RD STE 200, KING OF PRUSSIA, PA 19406-3101
(610) 382-5916
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD466849
PA
208800000X
Urology Physician
MT205718
PA
Other
Enumeration date
04/15/2014
Last updated
08/06/2019
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