Graduated: 2015
NPI: 1033568290
Practice Locations (3)
LAVENDER GROVE LONG TERM CARE PC
35 RUNNYMEDE RD
CHATHAM, NJ 079281331
9737153304
TANTALUM HEALTH LLC
35 RUNNYMEDE RD
CHATHAM, NJ 079281331
9737153304
ID CARE LLC
105 RAIDER BLVD, SUITE 101
HILLSBOROUGH, NJ 088441528
9082810221
Source: CMS National Downloadable File, September 2026.