Provider Demographics
NPI:1083649487
Name:WU, LING-LING
Entity Type:Individual
Prefix:MRS
First Name:LING-LING
Middle Name:
Last Name:WU
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:LING-LING
Other - Middle Name:
Other - Last Name:TSAI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:50 PRINCETON HIGHTSTOWN ROAD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:PRINCETON JCT
Mailing Address - State:NJ
Mailing Address - Zip Code:08550-1803
Mailing Address - Country:US
Mailing Address - Phone:609-799-8809
Mailing Address - Fax:609-799-8809
Practice Address - Street 1:50 PRINCETON HIGHTSTOWN ROAD
Practice Address - Street 2:SUITE 1
Practice Address - City:PRINCETON JCT
Practice Address - State:NJ
Practice Address - Zip Code:08550-1803
Practice Address - Country:US
Practice Address - Phone:609-799-8809
Practice Address - Fax:609-799-8809
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL374419133N00000X, 133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered133N00000XDietary & Nutritional Service ProvidersNutritionist
Not Answered133V00000XDietary & Nutritional Service ProvidersDietitian, Registered