MEDICARE: YUBO WU DO

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
1	390200000X	Student in an Organized Health Care Education/Training Program	271904	MA
2	207ZP0101X	Anatomic Pathology Physician	0102207968	VA
3	207ZC0500X	Cytopathology Physician	0102207968	VA
4	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	271904	MA

General Provider Information

NPI Number	:	1104346915
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YUBO WU DO

Provider Business Mailing Address
First Line	:	PO BOX 9007
Second Line	:
City	:	CHARLOTTESVILLE
State	:	VA
Zip	:	22906-9007
Country	:	US
Telephone Number	:	434-295-1000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1215 LEE ST
Second Line	:
City	:	CHARLOTTESVILLE
State	:	VA
Zip	:	22908-0005
Country	:	US
Telephone Number	:	888-882-3990
Fax Number	:	434-243-6499

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2017
Last Update Date	:	01/13/2025

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Directions to “ YUBO WU DO” Practice Location

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