# SURGICAL SERVICES OF SOUTH JERSEY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336323104
- **Authorized official:** JUSTINE SULLIVAN C.R.N.F.A. (OWNER)
- **Authorized official phone:** (609) 922-0909

## Contact information

- **Practice address:** 13 ELM DR, MEDFORD, NJ 08055-8840
- **Practice address phone:** (973) 957-0548
- **Practice address fax:** (866) 395-0888
- **Mailing address:** 13 ELM DR, MEDFORD, NJ 08055-8840
- **Mailing address phone:** (973) 957-2548
- **Mailing address fax:** (866) 395-0888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 26NO05331500 | NJ | Yes |

## Other

- **Enumeration date:** 12/28/2007
- **Last updated:** 02/01/2017