MEDICARE: JOANNE 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	171100000X	Acupuncturist	U01419	MD
2	175F00000X	Naturopath	099-0000167	VT

General Provider Information

NPI Number	:	1811011877
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOANNE WU

Provider Business Mailing Address
First Line	:	408 W CHURCH ST
Second Line	:
City	:	ELMIRA
State	:	NY
Zip	:	14901-2603
Country	:	US
Telephone Number	:	607-733-3373
Fax Number	:

Provider Business Practice Location Address
First Line	:	408 W CHURCH ST
Second Line	:
City	:	ELMIRA
State	:	NY
Zip	:	14901-2603
Country	:	US
Telephone Number	:	607-733-3373
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JOANNE WU
Credential	:	N.D., L.AC.
Telephone Number	:	301-787-3589

Provider Enumeration Date	:	03/16/2007
Last Update Date	:	10/04/2012

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