Individual
JENNIFER WU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Mailing address
20 YORK ST, NEW HAVEN, CT 06510-3220
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
264427
MA
2085R0202X
Diagnostic Radiology Physician
Primary
2970
NH
2085R0202X
Diagnostic Radiology Physician
68778
CT
Other
Enumeration date
06/24/2015
Last updated
01/25/2022
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