Provider Demographics
NPI:1033921846
Name:WU, EDWARD F (EMTB)
Entity type:Individual
Prefix:
First Name:EDWARD
Middle Name:F
Last Name:WU
Suffix:
Gender:M
Credentials:EMTB
Other - Prefix:
Other - First Name:EDDY
Other - Middle Name:F
Other - Last Name:WU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:80 BEAVER RD
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:MA
Mailing Address - Zip Code:02493-1020
Mailing Address - Country:US
Mailing Address - Phone:781-708-2011
Mailing Address - Fax:
Practice Address - Street 1:25 EASTERN AVE
Practice Address - Street 2:
Practice Address - City:MALDEN
Practice Address - State:MA
Practice Address - Zip Code:02148-5013
Practice Address - Country:US
Practice Address - Phone:617-625-0126
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-21
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAE0925479146N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic