MEDICARE: WUU JAU PERNG, M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083895437
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WUU JAU PERNG, M.D.

Provider Business Mailing Address
First Line	:	PO BOX 337
Second Line	:
City	:	HINCKLEY
State	:	OH
Zip	:	44233-0337
Country	:	US
Telephone Number	:	330-225-4811
Fax Number	:	330-220-7283

Provider Business Practice Location Address
First Line	:	2546 CENTER RD
Second Line	:
City	:	HINCKLEY
State	:	OH
Zip	:	44233-9561
Country	:	US
Telephone Number	:	330-225-4811
Fax Number	:	330-220-7283

Authorized Official
Title or Position	:	OWNER
Name	:	DR. WUU JAU PERNG
Credential	:	M.D.
Telephone Number	:	330-225-4811

Provider Enumeration Date	:	11/14/2007
Last Update Date	:	11/20/2007

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