Healthcare Provider Details

I. General information

NPI: 1497958896
Provider Name (Legal Business Name): XIAOJUN WU M.D., PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2007
Last Update Date: 01/03/2025
Certification Date: 01/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2120 L ST NW 2ND FLOOR, SUITE 200
WASHINGTON DC
20037-1527
US

IV. Provider business mailing address

2120 L ST NW 2ND FLOOR, SUITE 200
WASHINGTON DC
20037-1527
US

V. Phone/Fax

Practice location:
  • Phone: 202-677-6600
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number269720
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberMD30724
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberD83890
License Number StateMD
# 4
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberMD043214
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: