Organization
TOM FUJI, DDS
Active
Other names
Joseph E Gian-Grasso
Organization subpart
No
Provider details
NPI number
Authorized official
TOM FUJI (PRESIDENT)
(215) 722-4290
Entity
Organization
Contact information
Practice address
7601 CASTOR AVENUE, (SUITE 300), PHILADELPHIA, PA 19152
(215) 722-4290
(215) 722-3734
Mailing address
7601 CASTOR AVENUE, (SUITE 300), PHILADELPHIA, PA 19152
(215) 722-4290
(215) 722-3734
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
DS018466L
PA
1223P0300X
Periodontics
Primary
DS035030
PA
Other
Enumeration date
12/19/2006
Last updated
03/13/2017
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