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Individual

DR. CATHERINE CHANGHONG WU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
1 ORR SQUARE, #C, REVERE, MA 02151-3200
(781) 289-2144
(781) 289-2167
Mailing address
1 ORR SQUARE, #C, REVERE, MA 02151-3200
(781) 289-2144
(781) 289-2167

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PD2141
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0316784
MA
01
333434
HARVARD PILGRAM
MA
01
Y71068
BLUE CROSS BLUE SHIELD
MA
Enumeration date
02/02/2006
Last updated
06/19/2008
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