Individual
WAYNE C WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4660 KENMORE AVE, SUITE 1210, ALEXANDRIA, VA 22304-1313
(703) 461-0700
(703) 461-0803
Mailing address
PO BOX 17334, BALTIMORE, MD 21297-1334
(703) 443-6717
(703) 443-8643
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101233565
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962554436
—
VA
Enumeration date
01/17/2007
Last updated
02/17/2011
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