| NPI | 1285770479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT M. CAPONE Operations Manager 856-414-9003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: NJ sc05259800) |
| Additional Taxonomies | 261QM0801X (Licence: NJ sc00244900) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |