Individual
WEI DU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
722 E BUTLER PIKE, AMBLER, PA 19002-2310
(610) 524-1552
Mailing address
1601 CHERRY ST, SUITE 11511, PHILADELPHIA, PA 19102-1320
(215) 255-7822
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD421551
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008194840001
—
PA
01
—
830401
PENNSYLVANIA BLUE SHIELD
PA
01
—
CD9539
RAILROAD MEDICARE
PA
Enumeration date
09/24/2006
Last updated
05/11/2016
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