Organization
STOUT'S CHARTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM STOUT (GENERAL MANAGER)
(609) 883-8891
Entity
Organization
Contact information
Practice address
20 IRVEN ST, EWING, NJ 08638-2718
(609) 883-8891
(609) 883-6682
Mailing address
20 IRVEN ST, EWING, NJ 08638-2718
(609) 883-8891
(609) 883-6682
Taxonomy
Speciality
Code
Description
License number
State
347B00000X
Bus
Primary
—
—
Other
Enumeration date
05/06/2013
Last updated
05/06/2013
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