Graduated: 2014
NPI: 1184251308
Practice Locations (2)
OPTUM MEDICAL CARE OF NEW JERSEY PC
506 BROADWAY
BAYONNE, NJ 070023712
2014717012
OPTUM MEDICAL CARE OF NEW JERSEY PC
165 S BLACK HORSE PIKE
RUNNEMEDE, NJ 080781906
8569391658
Source: CMS National Downloadable File, September 2026.