Provider Demographics
NPI:1619138500
Name:WU, TROY T (MD)
Entity Type:Individual
Prefix:DR
First Name:TROY
Middle Name:T
Last Name:WU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1676 EL CAMINO DEL TEATRO
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-6338
Mailing Address - Country:US
Mailing Address - Phone:213-712-3895
Mailing Address - Fax:351-200-0434
Practice Address - Street 1:1676 EL CAMINO DEL TEATRO
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-6338
Practice Address - Country:US
Practice Address - Phone:213-712-3895
Practice Address - Fax:586-204-0258
Is Sole Proprietor?:No
Enumeration Date:2008-06-23
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA104986207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology