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Individual

SHERRY L PULASKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
10215 FERNWOOD RD, STE 50, BETHESDA, MD 20817
(301) 564-1053
Mailing address
3015 WILLIAMS DRIVE, STE 200, FAIRFAX, VA 22031-4623
(703) 641-9133
(703) 280-5098

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
9800669
NC
2085R0202X
Diagnostic Radiology Physician
9800669
NC
2085R0202X
Diagnostic Radiology Physician
Primary
D0023673
MD
2085R0204X
Vascular & Interventional Radiology Physician
9800669
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10691
BCBS
01
25336
PARTNERS
01
300130863
RR MEDICARE
05
3002923000
WV
01
7003032
AETNA
05
7208464
VA
05
7910691
NC
01
81907
MEDCOST
05
Q0066D
SC
Enumeration date
12/02/2005
Last updated
05/15/2008
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