| Central Jersey Oral And Maxillofacial Surgery,p.a. | |
|
158 Main St Matawan NJ 07747-4104 | |
| (732) 566-7648 | |
| (732) 566-1919 |
| Full Name | Central Jersey Oral And Maxillofacial Surgery,p.a. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 158 Main St, Matawan, New Jersey |
| Authorized Official Name and Position | Laurence David Sussman (V. PRES) |
| Authorized Official Contact | 7325667648 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Jersey Oral And Maxillofacial Surgery,p.a. 158 Main St Matawan NJ 07747-4104 Ph: (732) 566-7648 | Central Jersey Oral And Maxillofacial Surgery,p.a. 158 Main St Matawan NJ 07747-4104 Ph: (732) 566-7648 |
| NPI Number | 1164596268 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 06/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164596268 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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