For Physicians

Medical Staff Application

  • Click on the Form to Download and Print the Application (PDF)
  • Fill in the information and…
  • Mail to: Elite Surgical Center, 307 Hamburg Turnpike Wayne, NJ 07470
  • Or Fax to: 973.689.7618

If you do not have Adobe® Reader® on your computer, you can download it for free by clicking here or on the Get Adobe Reader icon.

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Office Hours

  • Monday - Friday
  • 7:00AM - 3:00PM
  • Saturday - Sunday
  • Closed

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