Provider Demographics
NPI:1265961304
Name:WU, SEAN Z (MD)
Entity type:Individual
Prefix:DR
First Name:SEAN
Middle Name:Z
Last Name:WU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 SCOTT ADAM RD STE 301
Mailing Address - Street 2:
Mailing Address - City:HUNT VALLEY
Mailing Address - State:MD
Mailing Address - Zip Code:21030-3360
Mailing Address - Country:US
Mailing Address - Phone:410-666-3960
Mailing Address - Fax:
Practice Address - Street 1:54 SCOTT ADAM RD STE 301
Practice Address - Street 2:
Practice Address - City:HUNT VALLEY
Practice Address - State:MD
Practice Address - Zip Code:21030-3360
Practice Address - Country:US
Practice Address - Phone:410-666-3960
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-11
Last Update Date:2021-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH57.245363207N00000X
IL125.070973207R00000X
MDD0091254207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine