Individual
ETHAN NULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
565 COAL VALLEY RD, JEFFERSON HILLS, PA 15025-3703
(412) 267-6810
(412) 267-6817
Mailing address
565 COAL VALLEY RD, JEFFERSON HILLS, PA 15025-3703
(412) 267-6810
(412) 267-6817
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OT017160
PA
208M00000X
Hospitalist Physician
Primary
OS019964
PA
Other
Enumeration date
07/08/2016
Last updated
11/05/2024
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