Individual
MRS. MINDY M CHEN-RELOVSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12 HEADQUARTERS RD, WHITEHOUSE STATION, NJ 08889-4018
(908) 777-0525
Mailing address
12 HEADQUARTERS RD, WHITEHOUSE STATION, NJ 08889-4018
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00125900
NJ
363AS0400X
Surgical Physician Assistant
Primary
25MP00125900
NJ
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086304AJB
—
NJ
01
—
1811998784
NPI
NJ
Enumeration date
08/02/2005
Last updated
08/06/2021
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