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NPI Code Detail

MEDICARE: DR. JEWEL BYNOE OSBORNE-WU M.D.

MEDICARE: DR. JEWEL BYNOE OSBORNE-WU M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianD0080145MD
2207Q00000XFamily Medicine PhysicianMD453807PA
3207Q00000XFamily Medicine Physician0101260555VA

General Provider Information

NPI Number : 1003175589
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEWEL BYNOE OSBORNE-WU M.D.
Provider Business Mailing Address
First Line : 1050 CONNECTICUT AVE NW STE 500
Second Line :
City : WASHINGTON
State : DC
Zip : 20036-5304
Country : US
Telephone Number : 202-596-8891
Fax Number : 833-941-2357
Provider Business Practice Location Address
First Line : 1050 CONNECTICUT AVE NW STE 500
Second Line :
City : WASHINGTON
State : DC
Zip : 20036-5304
Country : US
Telephone Number : 202-596-8891
Fax Number : 833-941-2357
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2012
Last Update Date : 10/25/2023

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