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Organization

PRESTIGE SURGICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THOMAS MENDOLIA D.O. (MGRM)
(336) 575-2833
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
01/07/2011
Last updated
01/07/2011
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