| NPI | 1699228650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY SALERA Finance Representative 609-817-0052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NJ 25MA09258600) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ 25MA08922900) |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2016-09-21 |