Jose Ethan Pulido, MD | |
2 Industrial Blvd Bldg C Ste 120, Paoli, PA 19301 | |
(610) 647-3660 | |
(610) 644-2165 |
Full Name | Jose Ethan Pulido |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 10 Years |
Location | 2 Industrial Blvd Bldg C Ste 120, Paoli, Pennsylvania |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285053421 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | MT205718 (Pennsylvania) | Secondary |
208800000X | Urology | MD466849 (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Chester County Hospital | West chester, PA | Hospital |
Paoli Hospital | Paoli, PA | Hospital |
Hospital Of Univ Of Pennsylvania | Philadelphia, PA | Hospital |
Riddle Memorial Hospital | Media, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Centers For Advanced Urology, Llp | 3274800941 | 85 |
Entity Name | Centers For Advanced Urology, Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811351083 PECOS PAC ID: 3274800941 Enrollment ID: O20170531000529 |
Mailing Address | Practice Location Address |
---|---|
Jose Ethan Pulido, MD 211 S Gulph Rd Ste 200, King Of Prussia, PA 19406-3101 Ph: (610) 382-5916 | Jose Ethan Pulido, MD 2 Industrial Blvd Bldg C Ste 120, Paoli, PA 19301 Ph: (610) 647-3660 |
Dr. Gregory M. Thompson, M.D. Urology Medicare: Medicare Enrolled Practice Location: 255 W Lancaster Ave, Pmob Iii, Suite 333, Paoli, PA 19301 Phone: 610-644-9600 Fax: 610-644-0804 | |
James Richard Bollinger, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 209 W Lancaster Ave, Suite 200, Paoli, PA 19301 Phone: 610-296-0810 Fax: 610-296-4968 | |
Dr. Joseph A Graversen, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 209 W Lancaster Ave, Suite 200, Paoli, PA 19301 Phone: 610-525-2515 |