MEDICARE: ALEX WU

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	310284	NY
2	390200000X	Student in an Organized Health Care Education/Training Program
3	207RH0003X	Hematology & Oncology Physician	310284	NY

General Provider Information

NPI Number	:	1770978231
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEX WU

Provider Business Mailing Address
First Line	:	9000 FRANKLIN SQUARE DR
Second Line	:	DEPARTMENT OF INTERNAL MEDICINE
City	:	BALTIMORE
State	:	MD
Zip	:	21237-3901
Country	:	US
Telephone Number	:	443-777-2034
Fax Number	:

Provider Business Practice Location Address
First Line	:	8686 BAY PKWY STE M1
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11214-5193
Country	:	US
Telephone Number	:	718-372-1188
Fax Number	:

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

Provider Enumeration Date	:	04/01/2015
Last Update Date	:	04/13/2023

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Directions to “ ALEX WU ” Practice Location

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