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General NPI Number Information
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NPI Number | 1518079284
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Entity Type | Individual
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Provider Name | JOANNE WU M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 2165 IDLEWOOD RD
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City | TUCKER
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State | GA
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Zip | 30084-4816
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Country | US
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Telephone | 702-899-0595
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Fax | 702-977-1496
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Provider Business Mailing Address
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Address Line | PO BOX 22239
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City | NEW YORK
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State | NY
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Zip | 10087-0001
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Country | US
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Telephone | 585-368-3213
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Fax | 585-368-3219
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 246818
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License Number State | NY
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