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Individual

DR. WUU JAU PERNG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2546 CENTER RD, HINCKLEY, OH 44233-9561
(330) 225-4811
(330) 220-7263
Mailing address
PO BOX 337, HINCKLEY, OH 44233-0337
(330) 225-4811
(330) 220-7283

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
35-039471P
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000115769
ANTHEM
01
011937089
RAILROAD MEDICARE
05
0320469
OH
Enumeration date
10/11/2005
Last updated
11/20/2007
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