# PRESTIGE SURGICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356645204
- **Authorized official:** DR. THOMAS MENDOLIA D.O. (MGRM)
- **Authorized official phone:** (336) 575-2833

## Contact information

- **Practice address:** 146 ROUTE 17 NORTH, LOWER LEVEL, HACKENSACK, NJ 07601
- **Practice address phone:** (201) 441-3500
- **Mailing address:** 40 SE 5TH ST, SUITE 406, BOCA RATON, FL 33432-6003
- **Mailing address phone:** (561) 368-7118
- **Mailing address fax:** (561) 368-7116

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/07/2011
- **Last updated:** 01/07/2011