Provider Demographics
NPI:1447257472
Name:FU, TZULIN T (DDS)
Entity type:Individual
Prefix:DR
First Name:TZULIN
Middle Name:T
Last Name:FU
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:186A SMITH ST
Mailing Address - Street 2:
Mailing Address - City:PERTH AMBOY
Mailing Address - State:NJ
Mailing Address - Zip Code:08861-4322
Mailing Address - Country:US
Mailing Address - Phone:732-442-6000
Mailing Address - Fax:732-442-6086
Practice Address - Street 1:186A SMITH ST
Practice Address - Street 2:
Practice Address - City:PERTH AMBOY
Practice Address - State:NJ
Practice Address - Zip Code:08861-4322
Practice Address - Country:US
Practice Address - Phone:732-442-6000
Practice Address - Fax:732-442-6086
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI0127391223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice