Individual
MARK P. WU
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2033 MAIN ST, ATHOL, MA 01331-3535
(978) 249-3511
(978) 249-7666
Mailing address
2033 MAIN ST, ATHOL, MA 01331-3535
(978) 249-3511
(978) 249-7666
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
50555
MA
2086S0129X
Vascular Surgery Physician
Primary
50555
MA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
50555
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1392620
—
MA
Enumeration date
09/30/2005
Last updated
09/11/2025
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