Healthcare Provider Details

I. General information

NPI: 1366182362
Provider Name (Legal Business Name): FRANK YUTING WU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2022
Last Update Date: 05/16/2026
Certification Date: 05/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

295 VARNUM AVE
LOWELL MA
01854-2134
US

IV. Provider business mailing address

2 CLINTON ST APT 1
CAMBRIDGE MA
02139-2330
US

V. Phone/Fax

Practice location:
  • Phone: 508-618-3006
  • Fax:
Mailing address:
  • Phone: 650-275-2139
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number1024762
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: