MEDICARE: MELISSA WU 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	207P00000X	Emergency Medicine Physician	D53344	MD

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	:	1235167859
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA WU M.D.

Provider Business Mailing Address
First Line	:	8 PROSPECT STREET
Second Line	:	PO BOX 2014
City	:	NASHUA
State	:	NH
Zip	:	03061
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8 PROSPECT STREET
Second Line	:	SOUTHERN NEW HAMPSHIRE MEDICAL CENTER
City	:	NASHUA
State	:	NH
Zip	:	03061
Country	:	US
Telephone Number	:	603-577-2273
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2006
Last Update Date	:	07/29/2011

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