Provider Demographics
NPI:1609225705
Name:WU, LITE (DO)
Entity Type:Individual
Prefix:
First Name:LITE
Middle Name:
Last Name:WU
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:29 HOSPITAL PLZ STE 601
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06902-3602
Mailing Address - Country:US
Mailing Address - Phone:203-276-2451
Mailing Address - Fax:203-276-2452
Practice Address - Street 1:29 HOSPITAL PLZ STE 601
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06902-3602
Practice Address - Country:US
Practice Address - Phone:203-276-2451
Practice Address - Fax:203-276-2452
Is Sole Proprietor?:No
Enumeration Date:2016-06-09
Last Update Date:2021-10-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT690862081P2900X, 2081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine