Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 25MB09492200 | NJ |
NPI | 1215182332 |
---|---|
Provider Name | Eddie S Wu |
First Address | Vineland, NJ 08360-5306 |
Second Address | Vineland, NJ 08360-5306 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/11/2008 |
Last Update Date | 09/02/2021 |