Individual
MARY E. PULASKI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
275 MAMMOTH RD, SUITE #1, MANCHESTER, NH 03109-4133
(603) 663-8350
(603) 663-8399
Mailing address
275 MAMMOTH RD, SUITE #1, MANCHESTER, NH 03109-4133
(603) 663-8350
(603) 663-8399
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
10661
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010661
TUFTS PIN
NH
01
—
1240735
UHC PIN
NH
01
—
20048Y
ANTHEM REFERRING RAN
NH
01
—
2178405
AETNA PIN
NH
01
—
259713
CIGNA PIN
NH
05
—
30200270
—
NH
01
—
NH1649
HPHC PIN
NH
Enumeration date
11/03/2005
Last updated
07/09/2007
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