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General NPI Number Information
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NPI Number | 1780723726
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Entity Type | Organization
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Legal Business Name | RONGJANG WU DMD
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 370 MAIN ST STE 101
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City | STONEHAM
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State | MA
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Zip | 02180-3515
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Country | US
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Telephone | 781-438-6520
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Fax |
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Provider Business Mailing Address
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Address Line | 370 MAIN ST STE 101
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City | STONEHAM
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State | MA
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Zip | 02180-3515
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Country | US
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Telephone | 781-438-6520
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. RONGJANG WU
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Credential | DMD
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Telephone | 781-438-6520
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 17629
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 17818
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License Number State | MA
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