Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | MA029774 | NJ |
NPI | 1043219983 |
---|---|
Provider Name | Dr. Hen-Vai Wu |
First Address | Somerville, NJ 08876-2500 |
Second Address | Somerville, NJ 08876-2500 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2005 |
Last Update Date | 31/10/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0832405 | (05) | NJ |
D99032 | (02) | NJ |