Healthcare Provider Details

I. General information

NPI: 1417862665
Provider Name (Legal Business Name): FUNING WU
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

56 N BEDFORD ST STE 2
E BRIDGEWATER MA
02333-1173
US

IV. Provider business mailing address

PO BOX 95
HALIFAX MA
02338-0095
US

V. Phone/Fax

Practice location:
  • Phone: 508-846-4979
  • Fax:
Mailing address:
  • Phone: 508-849-4979
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: