| NPI | 1699216853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT WAGNER Owner 856-686-4316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2017-03-20 |