Provider Demographics
NPI:1548764624
Name:WU, LESLEY (MD)
Entity type:Individual
Prefix:DR
First Name:LESLEY
Middle Name:
Last Name:WU
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:690 MASSACHUSETTS AVE
Mailing Address - Street 2:FL 2
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-2908
Mailing Address - Country:US
Mailing Address - Phone:617-414-5405
Mailing Address - Fax:617-414-6031
Practice Address - Street 1:830 HARRISON AVENUE, 3RD FL
Practice Address - Street 2:MOAKLEY BLDG
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-2905
Practice Address - Country:US
Practice Address - Phone:617-638-6428
Practice Address - Fax:617-638-5756
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-22
Last Update Date:2024-07-11
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Provider Licenses
StateLicense IDTaxonomies
MA1019340207RH0003X, 207R00000X
NY1548764624207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine