Graduated: 2000
NPI: 1093731036
Practice Locations (3)
IPTA CLINICAL, LLC
1203 RIVER RD HUDSON HARBOUR
EDGEWATER, NJ 070201456
2019373600
IPTA CLINICAL, LLC
175 ROUTE 70, SUITE 19
MEDFORD, NJ 080552355
6097143378
IPTA CLINICAL, LLC
180 OLD TAPPAN RD, SUITE 6
OLD TAPPAN, NJ 076757052
2017682000
Source: CMS National Downloadable File, September 2026.