Provider Demographics
NPI:1407873995
Name:WU, JAMES T (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:T
Last Name:WU
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:260 S LOS ROBLES AVE STE 118
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-2869
Mailing Address - Country:US
Mailing Address - Phone:626-666-5820
Mailing Address - Fax:626-666-5821
Practice Address - Street 1:260 S LOS ROBLES AVE STE 118
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-2869
Practice Address - Country:US
Practice Address - Phone:626-666-5820
Practice Address - Fax:626-666-5821
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2014-03-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA95821208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY238231OtherNYS LICENSE
NY238231OtherNYS LICENSE