Provider Demographics
NPI:1871533844
Name:WU, DAVID S (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:S
Last Name:WU
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Gender:M
Credentials:MD
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Mailing Address - Street 1:256 BROAD ST
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07003-2766
Mailing Address - Country:US
Mailing Address - Phone:973-743-4450
Mailing Address - Fax:973-429-9076
Practice Address - Street 1:256 BROAD ST
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07003-2766
Practice Address - Country:US
Practice Address - Phone:973-743-4450
Practice Address - Fax:973-429-9076
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2024-11-08
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA07399200208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
H71365Medicare UPIN