Graduated: 1998
NPI: 1205885043
Practice Locations (2)
IPTA CLINICAL, LLC
3228 ROUTE 27, SUITE 2A
KENDALL PARK, NJ 088241524
7322970032
IPTA CLINICAL, LLC
175 ROUTE 70, SUITE 19
MEDFORD, NJ 080552355
6097143378
Source: CMS National Downloadable File, September 2026.