Provider Demographics
NPI:1013102326
Name:ROBERT H. WU. MD, PC.
Entity Type:Organization
Organization Name:ROBERT H. WU. MD, PC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:H
Authorized Official - Last Name:WU
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:617-786-8899
Mailing Address - Street 1:65 HARRISON AVE STE 308
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02111-1924
Mailing Address - Country:US
Mailing Address - Phone:617-338-9889
Mailing Address - Fax:
Practice Address - Street 1:65 HARRISON AVE STE 308
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111-1924
Practice Address - Country:US
Practice Address - Phone:617-338-9889
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ROBERT H. WU.MD,PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-09-10
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA9749250Medicaid
MAM18922OtherBCBS
MA9749250Medicaid