Provider Demographics
NPI:1336141274
Name:WU, YOU NENG (MD)
Entity Type:Individual
Prefix:DR
First Name:YOU
Middle Name:NENG
Last Name:WU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:JUSTIN
Other - Middle Name:YOU-NENG
Other - Last Name:WU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:7490 NEW TECHNOLOGY WAY
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21703-8370
Mailing Address - Country:US
Mailing Address - Phone:240-566-1600
Mailing Address - Fax:240-566-1675
Practice Address - Street 1:7601 OSLER DRIVE
Practice Address - Street 2:ST. JOSEPH'S MEDICAL CENTER
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21201
Practice Address - Country:US
Practice Address - Phone:410-337-1279
Practice Address - Fax:410-427-2314
Is Sole Proprietor?:No
Enumeration Date:2005-08-11
Last Update Date:2014-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0054415207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDG96556Medicare UPIN
MD549XMedicare ID - Type Unspecified