Healthcare Provider Details

I. General information

NPI: 1053324798
Provider Name (Legal Business Name): WENHUI CAO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 09/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 WELLNESS WAY
WASHINGTON PA
15301-9697
US

IV. Provider business mailing address

240 WELLNESS WAY
WASHINGTON PA
15301-9697
US

V. Phone/Fax

Practice location:
  • Phone: 724-223-9270
  • Fax: 724-223-8133
Mailing address:
  • Phone: 724-223-9270
  • Fax: 724-223-8133

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number22372
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: