MEDICARE: YAN 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	207R00000X	Internal Medicine Physician	226357-1	NY
2	207R00000X	Internal Medicine Physician	25MA07545200	NJ
3	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	226357-1	NY
4	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	25MA07545200	NJ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	P00219331	OTHER	NJ	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P3597667	OTHER	NJ	OXFORD
2	1490025	OTHER	NJ	AMERIHEALTH PPO
3	2379037	OTHER	NJ	UNITED HEALTHCARE
4	38777	OTHER	NJ	UNIVERSITY HEALTH PLAN
6	2179718000	OTHER	NJ	AMERIHEALTH/KEYSTONE/IBC
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	3K6072	OTHER	NJ	HEALTHNET, INC

General Provider Information

NPI Number	:	1831191550
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YAN WU M.D.

Provider Business Mailing Address
First Line	:	2 CAPITAL WAY
Second Line	:	SUITE 290
City	:	PENNINGTON
State	:	NJ
Zip	:	08534-2521
Country	:	US
Telephone Number	:	609-303-4300
Fax Number	:	609-303-4301

Provider Business Practice Location Address
First Line	:	2 CAPITAL WAY
Second Line	:	SUITE 290
City	:	PENNINGTON
State	:	NJ
Zip	:	08534-2521
Country	:	US
Telephone Number	:	609-303-4300
Fax Number	:	609-303-4301

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

Provider Enumeration Date	:	08/12/2005
Last Update Date	:	01/10/2017

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Directions to “ YAN WU M.D.” Practice Location

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