| Joseph E Gian-grasso | |
|
7601 Castor Avenue (suite 300) Philadelphia PA 19152 | |
| (215) 722-4290 | |
| (215) 722-3734 |
| Full Name | Joseph E Gian-grasso |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 7601 Castor Avenue, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Tom Fuji (PRESIDENT) |
| Authorized Official Contact | 2157224290 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph E Gian-grasso 7601 Castor Avenue (suite 300) Philadelphia PA 19152 Ph: (215) 722-4290 | Joseph E Gian-grasso 7601 Castor Avenue (suite 300) Philadelphia PA 19152 Ph: (215) 722-4290 |
| NPI Number | 1396808556 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 03/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396808556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | DS018466L (Pennsylvania) | Secondary |
| 1223P0300X | Dentist - Periodontics | DS035030 (Pennsylvania) | Primary |
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