Healthcare Provider Details

I. General information

NPI: 1184788374
Provider Name (Legal Business Name): SERENA WU M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SERENA SAN WU MD

II. Dates (important events)

Enumeration Date: 12/21/2006
Last Update Date: 08/28/2024
Certification Date: 08/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 HOPE DR STE 202/204
HERSHEY PA
17033-2088
US

IV. Provider business mailing address

500 UNIVERSITY DR MC CA410
HERSHEY PA
17033-2360
US

V. Phone/Fax

Practice location:
  • Phone: 717-531-3503
  • Fax: 717-531-4375
Mailing address:
  • Phone: 717-531-5208
  • Fax: 717-531-0119

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License NumberMD432101
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License NumberCV2102968
License Number StateIN

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: