Organization
JACK C. WU, M.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN WU DO (PRESIDENT)
(856) 456-1881
Entity
Organization
Contact information
Practice address
219 HIGHLAND AVE, WESTVILLE, NJ 08093-1014
(856) 456-1881
(856) 456-3959
Mailing address
219 HIGHLAND AVE, WESTVILLE, NJ 08093-1014
(856) 456-1881
(856) 456-3959
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB07468500
NJ
305R00000X
Preferred Provider Organization
25MA298330
NJ
Other
Enumeration date
09/20/2006
Last updated
07/14/2022
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