Individual
DR. BENEDICT CHANG WU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O./PHD.
Contact information
Practice address
3514 BAINBRIDGE AVE, BRONX, NY 10467-1402
(718) 920-8493
Mailing address
3411 WAYNE AVE FL 2D, BRONX, NY 10467-2535
(718) 920-8493
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
308444-01
NY
207N00000X
Dermatology Physician
W000-063-82-386-0
FL
207R00000X
Internal Medicine Physician
OT017295
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HS000293L
EMPLOYEE NUMBER
PA
Enumeration date
06/11/2016
Last updated
03/12/2023
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