Provider Demographics
NPI:1497713556
Name:HSU, WEI T (MD)
Entity Type:Individual
Prefix:
First Name:WEI
Middle Name:T
Last Name:HSU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:1601 CHERRY ST
Mailing Address - Street 2:SUITE 11511
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19102-1321
Mailing Address - Country:US
Mailing Address - Phone:215-255-7822
Mailing Address - Fax:215-255-7825
Practice Address - Street 1:219 N BROAD ST
Practice Address - Street 2:4TH FL
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-1519
Practice Address - Country:US
Practice Address - Phone:215-762-5550
Practice Address - Fax:215-762-5570
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2012-03-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD042297E207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001418389Medicaid
PA677131Medicare PIN
PAE99345Medicare UPIN
PA677131V4BMedicare PIN