Organization
ELITE SURGICAL PA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINDY CHEN-RELOVSKY PA-C (OWNER)
(908) 397-7871
Entity
Organization
Contact information
Practice address
12 HEADQUARTERS RD, WHITEHOUSE STATION, NJ 08889-4018
(908) 397-7971
Mailing address
12 HEADQUARTERS RD, WHITEHOUSE STATION, NJ 08889-4018
(908) 397-7971
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00125900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086304AJB
—
NJ
05
—
1497232003
—
NJ
Enumeration date
07/26/2018
Last updated
08/14/2019
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