Individual
MOND WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1501 S CLINTON ST, BALTIMORE, MD 21224-5730
(866) 763-2211
Mailing address
1 LIBERTY PLZ STE 301, NEW YORK, NY 10006-1404
(917) 261-4414
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
019450
NY
363A00000X
Physician Assistant
C08453
MD
363A00000X
Physician Assistant
PA9117259
FL
Other
Enumeration date
02/18/2016
Last updated
07/17/2023
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