Provider Demographics
NPI:1497720551
Name:WU, CHI MEI (MD)
Entity Type:Individual
Prefix:DR
First Name:CHI
Middle Name:MEI
Last Name:WU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:93 ROCHESTER DR
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08723-7524
Mailing Address - Country:US
Mailing Address - Phone:732-505-5050
Mailing Address - Fax:732-262-9655
Practice Address - Street 1:9 TIVOLI ST
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08757-4131
Practice Address - Country:US
Practice Address - Phone:732-505-5050
Practice Address - Fax:732-505-9979
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA51229208100000X
NJ25MA05122900208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ223373283OtherHORIZON
NJ223373283OtherHORIZON