Healthcare Provider Details

I. General information

NPI: 1447614565
Provider Name (Legal Business Name): TERESA WU M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/06/2016
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 EUCLID AVE # J3-5
CLEVELAND OH
44195-0001
US

IV. Provider business mailing address

9500 EUCLID AVE # J3-5
CLEVELAND OH
44195-0001
US

V. Phone/Fax

Practice location:
  • Phone: 216-444-2142
  • Fax:
Mailing address:
  • Phone: 216-444-2142
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number296411
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: