Su, Fang-Yu
Su, Fang-Yu is an individual health care provider with primary practice located at 3223 N Broad St , Philadelphia PA 19140-5007. She recently has only one registered license in Dental Providers / Prosthodontics, which is considered as her primary health care specialty. Su, Fang-Yu can be contacted via phone (215) 531-3603.Contact Information
Primary practice address
3223 N Broad St
Philadelphia PA 19140-5007
Phone: (215) 531-3603
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Prosthodontics | 1223P0700X | 12013481A | Indiana |
| Dental Providers / Prosthodontics | 1223P0700X | 019.032873 | Illinois |
| Dental Providers / Prosthodontics | 1223P0700X | RFD000042 | Pennsylvania |
Profile Details
| NPI number | 1619562543 |
|---|---|
| LBN Legal business name | Su, Fang-Yu |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 3rd, 2021 |
| Last updated | Mar 30th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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