Individual
SEAN MING-YUAN WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
(650) 724-4689
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
(650) 724-4689
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
211120
MA
207RC0000X
Cardiovascular Disease Physician
211120
MA
207RC0000X
Cardiovascular Disease Physician
Primary
C55725
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2029651
—
MA
01
—
469998
TUFTS HEALTH PLAN
MA
01
—
J27013
BCBS MA
MA
Enumeration date
11/04/2005
Last updated
04/27/2024
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