Provider Demographics
NPI:1578054508
Name:LIU, WEN (MD, MPH)
Entity type:Individual
Prefix:
First Name:WEN
Middle Name:
Last Name:LIU
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Gender:F
Credentials:MD, MPH
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Mailing Address - Street 1:PO BOX 416457
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-6457
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:261 JAMES ST STE A12G3A3D
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-6392
Practice Address - Country:US
Practice Address - Phone:973-539-0333
Practice Address - Fax:973-538-6111
Is Sole Proprietor?:No
Enumeration Date:2018-05-25
Last Update Date:2024-08-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA11698000208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology