MEDICARE: DEBORAH WU D.C.

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	111N00000X	Chiropractor	MA1405	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891788469
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH WU D.C.

Provider Business Mailing Address
First Line	:	PO BOX 320258
Second Line	:
City	:	WEST ROXBURY
State	:	MA
Zip	:	02132-0003
Country	:	US
Telephone Number	:	617-413-8362
Fax Number	:

Provider Business Practice Location Address
First Line	:	960 CENTRE ST
Second Line	:
City	:	JAMAICA PLAIN
State	:	MA
Zip	:	02130-3045
Country	:	US
Telephone Number	:	617-413-8362
Fax Number	:

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

Provider Enumeration Date	:	08/29/2005
Last Update Date	:	10/25/2010

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Directions to “ DEBORAH WU D.C.” Practice Location

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