Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | CV2102968 | IN |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | MD432101 | PA |
NPI | 1184788374 |
---|---|
Provider Name | Serena Wu |
First Address | Lancaster, PA 17601-2433 |
Second Address | Lancaster, PA 17601-2433 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/12/2006 |
Last Update Date | 08/11/2021 |