Provider Demographics
NPI:1043219983
Name:WU, HEN-VAI (MD)
Entity Type:Individual
Prefix:DR
First Name:HEN-VAI
Middle Name:
Last Name:WU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 REHILL AVE
Mailing Address - Street 2:SUITE 2500
Mailing Address - City:SOMERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08876-2500
Mailing Address - Country:US
Mailing Address - Phone:908-927-8700
Mailing Address - Fax:908-927-8706
Practice Address - Street 1:30 REHILL AVE
Practice Address - Street 2:SUITE 2500
Practice Address - City:SOMERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08876-2500
Practice Address - Country:US
Practice Address - Phone:908-927-8700
Practice Address - Fax:908-927-8706
Is Sole Proprietor?:No
Enumeration Date:2005-07-21
Last Update Date:2011-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA029774207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0832405Medicaid
NJ444049BTVMedicare ID - Type Unspecified
NJ0832405Medicaid