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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