# STOUT'S CHARTER

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

## Provider details

- **NPI number:** 1568807493
- **Authorized official:** MR. TIM STOUT (GENERAL MANAGER)
- **Authorized official phone:** (609) 883-8891

## Contact information

- **Practice address:** 20 IRVEN ST, EWING, NJ 08638-2718
- **Practice address phone:** (609) 883-8891
- **Practice address fax:** (609) 883-6682
- **Mailing address:** 20 IRVEN ST, EWING, NJ 08638-2718
- **Mailing address phone:** (609) 883-8891
- **Mailing address fax:** (609) 883-6682

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 347B00000X | Bus | — | NULL | Yes |

## Other

- **Enumeration date:** 05/06/2013
- **Last updated:** 05/06/2013