Basic Information
| Provider Information | |||||||||
| NPI: | 1427009356 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | WU | ||||||||
| FirstName: | JAMES | ||||||||
| MiddleName: | K | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 783311 | ||||||||
| Address2: | |||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191783311 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4848844500 | ||||||||
| FaxNumber: | 4848840699 | ||||||||
| Practice Location | |||||||||
| Address1: | 1250 S CEDAR CREST BLVD | ||||||||
| Address2: | SUITE 310 | ||||||||
| City: | ALLENTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 181036224 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6104026890 | ||||||||
| FaxNumber: | 6104026892 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/15/2006 | ||||||||
| LastUpdateDate: | 11/27/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208G00000X | MD073880 | PA | Y | Allopathic & Osteopathic Physicians | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
ID Information
| ID | Type | State | Issuer | Description | 3641637 | 01 | PA | AETNA | OTHER | 000666729 | 01 | PA | KEYSTONE EAST | OTHER | 0018531650001 | 05 | PA | MEDICAID | 0242236000 | 01 | PA | AMERIHEALTH (IBC) | OTHER | 30022209 | 01 | PA | KEYSTONE MERCY | OTHER | 20034836 | 01 | PA | AMERIHEALTH MERCY | OTHER | 50039543 | 01 | PA | CAPITAL BLUE CROSS | OTHER | 666729 | 01 | PA | KEYSTONE CENTRAL | OTHER | P00180771 | 01 | PA | RAILROAD MEDICARE | OTHER | 1519065 | 01 | PA | GATEWAY HEALTH PLAN | OTHER | 666729 | 01 | PA | HIGHMARK BLUE SHIELD | OTHER | 77846 | 01 | PA | GEISINGER HEALTH PLAN | OTHER |