Provider Demographics
NPI:1386885226
Name:SJVI LLC
Entity type:Organization
Organization Name:SJVI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDIAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:SVIGALS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:856-482-2800
Mailing Address - Street 1:200 CENTURY PKWY
Mailing Address - Street 2:SUITE E
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:856-482-9399
Practice Address - Street 1:200 CENTURY PKWY
Practice Address - Street 2:SUITE E
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:856-482-9399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-23
Last Update Date:2009-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ2085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional RadiologyGroup - Single Specialty