Individual
LESLIE S WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
887 CONGRESS ST, SUITE 400, PORTLAND, ME 04102-3100
(207) 774-6368
(207) 774-9388
Mailing address
301C US ROUTE 1, SCARBOROUGH, ME 04074-9701
(207) 396-8600
(207) 396-8632
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD18164
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
434377199
—
ME
01
—
9414342
AETNA
ME
01
—
AA150585
HARVARD
ME
01
—
P00817805
RR MEDICARE
ME
Enumeration date
11/21/2006
Last updated
11/26/2014
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