Provider Demographics
NPI:1164447629
Name:JING, WUHUA (MD)
Entity Type:Individual
Prefix:DR
First Name:WUHUA
Middle Name:
Last Name:JING
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 1:8 CHATHAM SQ
Mailing Address - Street 2:SUITE 800
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-1000
Mailing Address - Country:US
Mailing Address - Phone:212-587-0678
Mailing Address - Fax:212-587-0670
Practice Address - Street 1:8 CHATHAM SQ
Practice Address - Street 2:SUITE 800
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-1000
Practice Address - Country:US
Practice Address - Phone:212-587-0678
Practice Address - Fax:212-587-0670
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2010-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY211352207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYH46690Medicare UPIN
NY013AG2Medicare ID - Type Unspecified