Provider Demographics
NPI:1780057125
Name:WU, ERAN
Entity type:Individual
Prefix:
First Name:ERAN
Middle Name:
Last Name:WU
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:ERAN
Other - Middle Name:PRESTON
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1 EMBARCADERO CTR STE 1900
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94111-3723
Mailing Address - Country:US
Mailing Address - Phone:415-658-6791
Mailing Address - Fax:
Practice Address - Street 1:489 5TH AVE FL 3
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-6145
Practice Address - Country:US
Practice Address - Phone:212-441-4400
Practice Address - Fax:415-252-7176
Is Sole Proprietor?:No
Enumeration Date:2015-11-06
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2356958363LF0000X
TXAP129531363LF0000X
NH084639-23363LF0000X
NY346450363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily