Organization
CENTRAL JERSEY ORAL AND MAXILLOFACIAL SURGERY,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURENCE DAVID SUSSMAN D.D.S. (V. PRES)
(732) 566-7648
Entity
Organization
Contact information
Practice address
158 MAIN ST, MATAWAN, NJ 07747-4104
(732) 566-7648
(732) 566-1919
Mailing address
158 MAIN ST, MATAWAN, NJ 07747-4104
(732) 566-7648
(732) 566-1919
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
11/20/2006
Last updated
06/24/2008
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