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Organization
AESTHETIC AND RECONSTRUCTIVE SURGERY, L.L.C.
Active
Organization
AESTHETIC AND RECONSTRUCTIVE SURGERY, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE MARK GORZELNIK M.D., D.M.D. (DIRECTOR)
(973) 966-6699
Entity
Organization
Contact information
Practice address
100 KINGS RD, MADISON, NJ 07940-2670
(973) 966-6699
(973) 966-6619
Mailing address
100 KINGS RD, MADISON, NJ 07940-2670
(973) 966-6699
(973) 966-6619
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
DI16442
NJ
Other
Enumeration date
12/16/2015
Last updated
02/11/2016
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