Provider Demographics
NPI:1568588853
Name:WU, YINGHUA (LAC)
Entity Type:Individual
Prefix:MS
First Name:YINGHUA
Middle Name:
Last Name:WU
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 WOOD AVE S STE 502
Mailing Address - Street 2:
Mailing Address - City:ISELIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08830-2709
Mailing Address - Country:US
Mailing Address - Phone:732-632-9500
Mailing Address - Fax:732-632-9510
Practice Address - Street 1:120 WOOD AVE S STE 502
Practice Address - Street 2:
Practice Address - City:ISELIN
Practice Address - State:NJ
Practice Address - Zip Code:08830-2709
Practice Address - Country:US
Practice Address - Phone:732-632-9500
Practice Address - Fax:732-632-9510
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2012-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00041800171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist