Graduated: 2021
NPI: 1023734415
Practice Locations (2)
LAVENDER GROVE LONG TERM CARE PC
35 RUNNYMEDE RD
CHATHAM, NJ 079281331
9737153304
TANTALUM HEALTH LLC
35 RUNNYMEDE RD
CHATHAM, NJ 079281331
9737153304
Source: CMS National Downloadable File, September 2026.