Organization
MIDDLETOWN ORAL SURGERY ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD KOZLOVSKY DMD (OWNER)
(732) 671-5822
Entity
Organization
Contact information
Practice address
21 NEW MONMOUTH ROAD, MIDDLETOWN, NJ 07748
(732) 671-5822
(732) 671-8415
Mailing address
21 NEW MONMOUTH ROAD, MIDDLETOWN, NJ 07748
(732) 671-5822
(732) 671-8415
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
22D102185305
NJ
Other
Enumeration date
01/20/2016
Last updated
04/08/2016
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