MEDICARE: EDWARD 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	MD424429	PA

General Provider Information

NPI Number	:	1851367155
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDWARD H WU MD

Provider Business Mailing Address
First Line	:	700 SPRUCE ST
Second Line	:	SUITE 304
City	:	PHILADELPHIA
State	:	PA
Zip	:	19106-4022
Country	:	US
Telephone Number	:	215-829-3521
Fax Number	:

Provider Business Practice Location Address
First Line	:	700 SPRUCE ST
Second Line	:	SUITE 304
City	:	PHILADELPHIA
State	:	PA
Zip	:	19106-4022
Country	:	US
Telephone Number	:	215-829-3521
Fax Number	:

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

Provider Enumeration Date	:	02/27/2006
Last Update Date	:	08/05/2013

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