Provider Demographics
NPI:1548973670
Name:PRESTIGE MEDICAL SERVICES P.C.
Entity type:Organization
Organization Name:PRESTIGE MEDICAL SERVICES P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOSAAD
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:908-300-3700
Mailing Address - Street 1:PO BOX 629
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:07417-0629
Mailing Address - Country:US
Mailing Address - Phone:201-847-8079
Mailing Address - Fax:201-847-0059
Practice Address - Street 1:2100 WESCOTT DR
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-4603
Practice Address - Country:US
Practice Address - Phone:201-847-8079
Practice Address - Fax:201-847-0059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-04
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty