Individual
DR. MARK A PULLANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
190 MAIN ST, WILLIAMSTOWN, MA 01267-2604
(413) 458-8368
(413) 458-0932
Mailing address
190 MAIN ST, WILLIAMSTOWN, MA 01267-2604
(413) 458-8368
(413) 458-0932
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16135
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X10842
BLUECROSSBLUESHIELD ID #
MA
Enumeration date
08/21/2006
Last updated
07/08/2007
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