| NPI | 1972996916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN JASON FISCHER President/Owner 856-816-0604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NJ 1875268) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2024-11-04 |