Individual
DR. ELIZABETH DIANNE PULTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1015 CHESTNUT ST, SUITE 1321, PHILADELPHIA, PA 19107-4310
(215) 955-4730
(215) 503-9188
Mailing address
1015 CHESTNUT ST, SUITE 1321, PHILADELPHIA, PA 19107-4310
(215) 955-4730
(215) 503-9188
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD442950
PA
207RH0000X
Hematology (Internal Medicine) Physician
Primary
MD442950
PA
207RH0003X
Hematology & Oncology Physician
213816
NY
207RX0202X
Medical Oncology Physician
MD442950
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0193054
—
NJ
05
—
102613907
—
PA
Enumeration date
10/02/2006
Last updated
03/05/2013
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