Provider Demographics
NPI:1992841167
Name:XU, WEI (MD)
Entity type:Individual
Prefix:DR
First Name:WEI
Middle Name:
Last Name:XU
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 1:100 WELLS ST
Mailing Address - Street 2:SUITE 1B
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06103-2928
Mailing Address - Country:US
Mailing Address - Phone:860-249-4466
Mailing Address - Fax:
Practice Address - Street 1:100 WELLS ST
Practice Address - Street 2:SUITE 1B
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06103-2928
Practice Address - Country:US
Practice Address - Phone:860-249-4466
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2015-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1855363A00000X
MA232915208100000X
CT049958208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAAP2518Medicare ID - Type Unspecified
Q56772Medicare UPIN