Individual
SAMUEL WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7001 FOREST AVE, SUITE 100, RICHMOND, VA 23230-1727
(804) 288-0808
(804) 288-8887
Mailing address
7001 FOREST AVE, SUITE 100, RICHMOND, VA 23230-1727
(804) 288-0808
(804) 288-8887
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101243872
VA
207R00000X
Internal Medicine Physician
200400784
NC
207RC0000X
Cardiovascular Disease Physician
Primary
0101243872
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C06778
MEDICARE PIN
VA
01
—
C09462
PTAN
VA
Enumeration date
05/01/2007
Last updated
03/07/2023
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