MEDICARE: MR. ZU-LIANG WU DMD

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	1223G0001X	General Practice Dentistry	22DI01844700	NJ

General Provider Information

NPI Number	:	1841466729
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ZU-LIANG WU DMD

Provider Business Mailing Address
First Line	:	150 RIVER ROAD SUITE #F2
Second Line	:
City	:	MONTVILLE
State	:	NJ
Zip	:	07045-8919
Country	:	US
Telephone Number	:	973-334-9495
Fax Number	:	973-334-9905

Provider Business Practice Location Address
First Line	:	150 RIVER ROAD SUITE #F2
Second Line	:
City	:	MONTVILLE
State	:	NJ
Zip	:	07045-8919
Country	:	US
Telephone Number	:	973-334-9495
Fax Number	:	973-334-9905

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

Provider Enumeration Date	:	05/01/2008
Last Update Date	:	05/01/2008

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