Graduated: 2010
NPI: 1548575822
Practice Locations (2)
IPTA CLINICAL, LLC
175 ROUTE 70, SUITE 19
MEDFORD, NJ 080552355
6097143378
IPTA CLINICAL, LLC
10 KETTLE CREEK RD, SUITE C
TOMS RIVER, NJ 087531700
7322557404
Source: CMS National Downloadable File, September 2026.