Individual
ANDREW R PULITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
740 SOUTH LIMESTONE, LEXINGTON, KY 40536-0001
(859) 323-5625
Mailing address
2333 ALUMNI PARK PLZ, SUITE 200, LEXINGTON, KY 40517-4012
(859) 257-7910
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
19494
KY
2086S0120X
Pediatric Surgery Physician
Primary
19494
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64194947
—
KY
Enumeration date
04/21/2006
Last updated
04/15/2008
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