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Individual

BRENDA WU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
90 PATERSON ST, STE 100, NEW BRUNSWICK, NJ 08901-2109
(201) 996-3205
Mailing address
90 PATERSON ST, STE 100, NEW BRUNSWICK, NJ 08901-2109
(732) 258-0061
(732) 993-9497

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
25MA07672600
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0014729
NJ
01
P00088826
RR MCR PTAN
NJ
Enumeration date
11/22/2006
Last updated
12/09/2016
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