Graduated: 2003
NPI: 1215985585
Practice Locations (2)
IPTA CLINICAL, LLC
180 TICES LN
EAST BRUNSWICK, NJ 088161345
7324187033
IPTA CLINICAL, LLC
175 ROUTE 70, SUITE 19
MEDFORD, NJ 080552355
6097143378
Source: CMS National Downloadable File, September 2026.