Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | D0014768 | MD |
NPI | 1114994803 |
---|---|
Provider Name | Tse Shiung Wu |
First Address | Frederick, MD 21702-4503 |
Second Address | Frederick, MD 21702-4503 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/03/2006 |
Last Update Date | 23/10/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C57464 | (02) | MD |