Individual
JOHN S PULVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
71 US ROUTE 1 STE A, SCARBOROUGH, ME 04074-7168
(207) 232-1030
(207) 885-8499
Mailing address
71 US ROUTE 1 STE A, SCARBOROUGH, ME 04074-7168
(207) 885-8400
(207) 885-8499
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD15248
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780614842
—
ME
05
—
220560099
—
ME
05
—
30201840
—
NH
01
—
MD15248
ANTHEM
ME
Enumeration date
07/04/2006
Last updated
01/30/2025
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