Individual
GENE W WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 RIDGEWOOD ROAD, SPRINGFIELD, VT 05156
(802) 885-2151
Mailing address
252 RIVER STREET, C O NETWORK MANAGEMENT SERVICES, SPRINGFIELD, VT 05156
(802) 885-5785
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0420009913
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ORE4525
—
VT
Enumeration date
02/06/2006
Last updated
04/14/2010
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