MEDICARE: ROBERT H 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	79947	MA

General Provider Information

NPI Number	:	1790713824
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT H WU MD

Provider Business Mailing Address
First Line	:	65 HARRISON AVE STE 308
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02111-1924
Country	:	US
Telephone Number	:	617-338-9889
Fax Number	:	617-618-3001

Provider Business Practice Location Address
First Line	:	65 HARRISON AVE STE 308
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02111-1924
Country	:	US
Telephone Number	:	617-338-9889
Fax Number	:	617-618-3001

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

Provider Enumeration Date	:	06/29/2006
Last Update Date	:	04/09/2024

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