# ELITE SURGICAL PA, LLC

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

## Provider details

- **NPI number:** 1497232003
- **Authorized official:** MINDY CHEN-RELOVSKY PA-C (OWNER)
- **Authorized official phone:** (908) 397-7871

## Contact information

- **Practice address:** 12 HEADQUARTERS RD, WHITEHOUSE STATION, NJ 08889-4018
- **Practice address phone:** (908) 397-7971
- **Mailing address:** 12 HEADQUARTERS RD, WHITEHOUSE STATION, NJ 08889-4018
- **Mailing address phone:** (908) 397-7971

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 25MP00125900 | NJ | Yes |

## Other

- **Enumeration date:** 07/26/2018
- **Last updated:** 08/14/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 086304AJB | — | NJ |
| 05 | — | 1497232003 | — | NJ |