Provider Demographics
NPI:1861913220
Name:SJV MANAGEMENT, LLC
Entity type:Organization
Organization Name:SJV MANAGEMENT, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:E
Authorized Official - Last Name:TUREK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-482-2800
Mailing Address - Street 1:200 CENTURY PKWY STE E
Mailing Address - Street 2:
Mailing Address - City:MOUNT LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054-1150
Mailing Address - Country:US
Mailing Address - Phone:856-482-2800
Mailing Address - Fax:
Practice Address - Street 1:200 CENTURY PKWY STE E
Practice Address - Street 2:
Practice Address - City:MOUNT LAUREL
Practice Address - State:NJ
Practice Address - Zip Code:08054-1150
Practice Address - Country:US
Practice Address - Phone:856-482-2800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical