Graduated: 2024
NPI: 1164246641
Practice Locations (2)
IPTA CLINICAL, LLC
1509 ROUTE 38, SUITE 38
HAINESPORT, NJ 080362981
6097848426
IPTA CLINICAL, LLC
401 S 2ND ST, SUITE LL
PHILADELPHIA, PA 191471612
2675192552
Source: CMS National Downloadable File, September 2026.