Provider Demographics
NPI:1730369570
Name:WU MEDICAL ASSOCIATES,INC.
Entity type:Organization
Organization Name:WU MEDICAL ASSOCIATES,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHIN
Authorized Official - Middle Name:S
Authorized Official - Last Name:WU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-852-2244
Mailing Address - Street 1:254 E HIGH ST
Mailing Address - Street 2:
Mailing Address - City:WAYNESBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15370-1821
Mailing Address - Country:US
Mailing Address - Phone:724-852-2244
Mailing Address - Fax:724-852-2244
Practice Address - Street 1:254 E HIGH ST
Practice Address - Street 2:
Practice Address - City:WAYNESBURG
Practice Address - State:PA
Practice Address - Zip Code:15370-1821
Practice Address - Country:US
Practice Address - Phone:724-852-2244
Practice Address - Fax:724-852-2244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-09
Last Update Date:2007-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA18823 E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty