MEDICARE: SERENA 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
1	207VM0101X	Maternal & Fetal Medicine Physician	MD432101	PA
2	207VM0101X	Maternal & Fetal Medicine Physician	CV2102968	IN

General Provider Information

NPI Number	:	1184788374
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SERENA WU M.D.

Provider Business Mailing Address
First Line	:	500 UNIVERSITY DR MC CA410
Second Line	:
City	:	HERSHEY
State	:	PA
Zip	:	17033-2360
Country	:	US
Telephone Number	:	717-531-5208
Fax Number	:	717-531-0119

Provider Business Practice Location Address
First Line	:	30 HOPE DR STE 202/204
Second Line	:
City	:	HERSHEY
State	:	PA
Zip	:	17033-2088
Country	:	US
Telephone Number	:	717-531-3503
Fax Number	:	717-531-4375

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

Provider Enumeration Date	:	12/21/2006
Last Update Date	:	08/28/2024

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