# DR JENNIFER S WU PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396729026
- **Authorized official:** JENNIFER WU (PRESIDENT)
- **Authorized official phone:** (781) 665-1985

## Contact information

- **Practice address:** 663 MAIN ST, MELROSE, MA 02176-3139
- **Practice address phone:** (781) 665-1985
- **Practice address fax:** (781) 665-0226
- **Mailing address:** 663 MAIN ST, MELROSE, MA 02176-3139
- **Mailing address phone:** (781) 665-1985
- **Mailing address fax:** (781) 665-0226

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/06/2005
- **Last updated:** 12/29/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 130752 | PILGRIM | — |
| 05 | — | 9780599 | — | MA |
| 01 | — | M16657 | BLUE CROSS | — |