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Organization
CHARLES J WU MD PA
Active
Organization
CHARLES J WU MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES JIA CHING WU MD (PRESIDENT)
(410) 768-6333
Entity
Organization
Contact information
Practice address
1600 S CRAIN HWY, SUITE 106, GLEN BURNIE, MD 21061-6439
(410) 768-6333
(410) 768-6392
Mailing address
1600 S CRAIN HWY, SUITE 106, GLEN BURNIE, MD 21061-6439
(410) 768-6333
(410) 768-6392
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D18508
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9300
CAREFIRST BCBS
MD
Enumeration date
01/30/2007
Last updated
04/10/2008
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