OrganizationActive
Central Jersey Oral and Maxillofacial Surgery,p.a.
NPI 1164596268 · Oral and Maxillofacial Surgery (Dentist) · Matawan, NJ
Provider details
- NPI number
- 1164596268
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Authorized official
- Laurence Sussman, V. Pres
Practice location
158 Main St
Matawan, NJ 07747-4104
Phone: (732) 566-7648
Fax: (732) 566-1919
Mailing address
158 Main St
Matawan, NJ 07747-4104
Registry dates
- Enumerated
- 2006-11-20
- Last updated
- 2008-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.