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Individual
JENNIFER S WU
Active
Individual
JENNIFER S WU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
74505
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
074505
TUFTS
—
01
—
130752
PILGRIM
—
05
—
3085287
—
MA
01
—
J11661
BLUE CROSS
—
Enumeration date
12/06/2005
Last updated
12/28/2015
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