OrganizationActive
Aesthetic and Reconstructive Surgery, L.L.C.
NPI 1679938740 · Oral & Maxillofacial Surgery (D.M.D.) · Madison, NJ
Provider details
- NPI number
- 1679938740
- Entity type
- Organization
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Authorized official
- Lawrence Gorzelnik, Director
- License
- DI16442 (NJ)
Practice location
100 Kings Rd
Madison, NJ 07940-2670
Phone: (973) 966-6699
Fax: (973) 966-6619
Mailing address
100 Kings Rd
Madison, NJ 07940-2670
Registry dates
- Enumerated
- 2015-12-16
- Last updated
- 2016-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.