Graduated: 1997
NPI: 1336219534
Practice Locations (2)
IPTA CLINICAL, LLC
112 HADDONTOWNE CT, SUITE 303
CHERRY HILL, NJ 080343664
8563545044
IPTA CLINICAL, LLC
175 ROUTE 70, SUITE 19
MEDFORD, NJ 080552355
6097143378
Source: CMS National Downloadable File, September 2026.