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Provider Information for 1356322119

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

WILLIAM PU MD

Gender: MALE

Individual NPI: 1356322119

Calendar   Last Updated:  2018-11-09
  Certification Date: 

Details

Name Value
NPI 1356322119
Enumeration Date 2005-11-09
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address PO BOX 9135 ATT:SHARON SILVA
BROOKLINE, MA 02446-9135
United States

Phone: 800-927-0002 | Fax:
View Map External Link
Primary Practice Address 300 LONGWOOD AVE
BOSTON, MA 02115-5724
United States

Phone: 617-355-6793 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
MEDICAID RI WP51508
MEDICAID MA 3198677
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 2080P0202X - Pediatrics Pediatric Cardiology MA 151975