MEDICARE: JING WU MD

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	207R00000X	Internal Medicine Physician	D0102353	MD

General Provider Information

NPI Number	:	1235888769
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JING WU MD

Provider Business Mailing Address
First Line	:	9501 OLD ANNAPOLIS RD STE 308
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21042-6337
Country	:	US
Telephone Number	:	301-621-6570
Fax Number	:	844-606-5116

Provider Business Practice Location Address
First Line	:	9501 OLD ANNAPOLIS RD STE 308
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21042-6337
Country	:	US
Telephone Number	:	301-621-6570
Fax Number	:	844-606-5116

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

Provider Enumeration Date	:	03/22/2022
Last Update Date	:	06/01/2026

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Directions to “ JING WU MD” Practice Location

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