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Individual
CHENG WU
Active
Individual
CHENG WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
1825
NC
367H00000X
Anesthesiologist Assistant
Primary
1825
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
343493801
—
TX
01
—
P01580960
RR MEDICARE
TX
Enumeration date
09/05/2014
Last updated
08/27/2020
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