Provider / Organization | NPI | Date Certified |
---|---|---|
BENEDICT CHANG WU | 1730538596 | 2023-03-12 |
Benedict Chang Wu is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1730538596. Registration indicates Benedict Chang Wu is a provider of services with a specialization in Dermatology (Allopathic & Osteopathic Physicians, Dermatology) (Specialist Network, ) (Dermatology, Allopathic & Osteopathic Physicians) Access to Adult/Geriatric Primary Care Providers (Allopathic & Osteopathic Physicians, Internal Medicine) Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Internal Medicine) (Internal Medicine, ) (Allopathic & Osteopathic Physicians, Internal Medicine) (Primary Care/Family Planning/APRN/PA, ) (Internal Medicine, Allopathic & Osteopathic Physicians) (Dermatology, ) (Allopathic & Osteopathic Physicians, Dermatology) (Specialist Network, ) (Dermatology, Allopathic & Osteopathic Physicians)
Entity Type | Individual |
Provider Name | Dr. Benedict Chang Wu D.O./PHD. |
Practice Office Address | 3514 BAINBRIDGE AVE BRONX, NY US |
Practice Office Telephone | 7189208493 |
Mailing Address | 3411 WAYNE AVE FL 2D BRONX, NY 104672535 US |
Business Telephone | 7189208493 |
Address | City / State | Phone / Fax |
---|---|---|
230 N Broad St | Philadelphia, PA 191021121 | 2157627000 |
3411 Wayne Ave Fl 2D | Bronx, NY 104672535 | 7189208493 |
Code | Practice | License No State |
---|---|---|
207N00000X | Dermatology Allopathic & Osteopathic Physicians Dermatology Specialist Network Dermatology Allopathic & Osteopathic Physicians | W000-063-82-386
FL |
207R00000X | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Internal MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Internal Medicine Internal Medicine Allopathic & Osteopathic Physicians Internal Medicine Primary Care/Family Planning/APRN/PA Internal Medicine Allopathic & Osteopathic Physicians | OT017295
PA |
207N00000X PRIMARY | Dermatology Allopathic & Osteopathic Physicians Dermatology Specialist Network Dermatology Allopathic & Osteopathic Physicians | 308444-01
NY |
193400000X SING | Group Code |
HS000293L | OTHER | PA | EMPLOYEE NUMBER |