Provider Demographics
NPI:1427009356
Name:WU, JAMES K (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:K
Last Name:WU
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 783311
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19178-3311
Mailing Address - Country:US
Mailing Address - Phone:484-884-4500
Mailing Address - Fax:484-884-0699
Practice Address - Street 1:1250 S CEDAR CREST BLVD
Practice Address - Street 2:SUITE 310
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-6224
Practice Address - Country:US
Practice Address - Phone:610-402-6890
Practice Address - Fax:610-402-6892
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-15
Last Update Date:2015-11-27
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Provider Licenses
StateLicense IDTaxonomies
PAMD073880208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA3641637OtherAETNA
PA000666729OtherKEYSTONE EAST
PA0018531650001Medicaid
PA0242236000OtherAMERIHEALTH (IBC)
PA30022209OtherKEYSTONE MERCY
PA20034836OtherAMERIHEALTH MERCY
PA50039543OtherCAPITAL BLUE CROSS
PA666729OtherKEYSTONE CENTRAL
PAP00180771OtherRAILROAD MEDICARE
PA1519065OtherGATEWAY HEALTH PLAN
PA666729OtherHIGHMARK BLUE SHIELD
PA77846OtherGEISINGER HEALTH PLAN
PA0242236000OtherAMERIHEALTH (IBC)
PA1519065OtherGATEWAY HEALTH PLAN