Individual
DR. CHUANG-KUO WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PHD
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-6788
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
159480
MA
2084N0400X
Neurology Physician
Primary
MD11106
RI
2084N0400X
Neurology Physician
N5516
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
214496601
—
TX
Enumeration date
06/01/2006
Last updated
09/22/2020
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