MEDICARE: ANGELA ZHANG-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	174400000X	Specialist	703552132	NY

General Provider Information

NPI Number	:	1801219589
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA ZHANG-WU

Provider Business Mailing Address
First Line	:	2530 E 28TH ST
Second Line	:	2F
City	:	BROOKLYN
State	:	NY
Zip	:	11235-2019
Country	:	US
Telephone Number	:	347-879-5666
Fax Number	:

Provider Business Practice Location Address
First Line	:	2530 E 28TH ST
Second Line	:	2F
City	:	BROOKLYN
State	:	NY
Zip	:	11235-2019
Country	:	US
Telephone Number	:	347-879-5666
Fax Number	:

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

Provider Enumeration Date	:	01/30/2014
Last Update Date	:	01/30/2014

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