Organization
FULCRUM PERFORMANCE LAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES BRUCE MORRIS III PH.D (CHAIRMAN / CEO)
(609) 284-5456
Entity
Organization
Contact information
Practice address
75 S MAPLE AVE, MARLTON, NJ 08053-2032
(856) 607-2400
Mailing address
75 S MAPLE AVE, MARLTON, NJ 08053-2032
(856) 607-2400
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/30/2020
Last updated
07/17/2020
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