| NPI | 1679938740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE MARK GORZELNIK Director 973-966-6699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: NJ DI16442) |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2016-02-11 |