Provider Demographics
NPI:1235262064
Name:GORZELNIK, LAWRENCE MARK (MD DMD)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:MARK
Last Name:GORZELNIK
Suffix:
Gender:M
Credentials:MD DMD
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Mailing Address - Street 1:PO BOX 362
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07961-0362
Mailing Address - Country:US
Mailing Address - Phone:973-966-6699
Mailing Address - Fax:973-966-6619
Practice Address - Street 1:100 KINGS RD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:NJ
Practice Address - Zip Code:07940-2631
Practice Address - Country:US
Practice Address - Phone:973-966-6699
Practice Address - Fax:973-966-6619
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2019-08-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJDI16442204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery