Individual
ANDREW W JU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 MOYE BLVD, LEO JENKINS CANCER CENTER, GREENVILLE, NC 27834-4300
(252) 744-2900
(252) 744-3844
Mailing address
PO BOX 8423, NEWCO CANCER SERVICES, GREENVILLE, NC 27835-8423
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
2013-00433
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235394081
—
NC
01
—
179T8
BCBS NC
NC
01
—
7319740
CIGNA
NC
01
—
P01619315
RR MEDICARE
NC
Enumeration date
07/22/2008
Last updated
05/02/2016
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