Individual
FRANCISCO J PICO FAZZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
649 W GERMANTOWN PIKE, PLYMOUTH MEETING, PA 19462-1036
(610) 397-1020
Mailing address
203 KENSEY RD, PLYMOUTH MEETING, PA 19462-1245
(610) 397-1020
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
DA027591-A
PA
Other
Enumeration date
12/22/2015
Last updated
12/22/2015
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