Graduated: 1996
NPI: 1912944968
Practice Locations (2)
OPTUM MEDICAL CARE OF NEW JERSEY PC
165 S BLACK HORSE PIKE
RUNNEMEDE, NJ 080781906
8569391658
OPTUM MEDICAL CARE OF NEW JERSEY PC
3403 S DELSEA DR
VINELAND, NJ 083607449
8562936974
Source: CMS National Downloadable File, September 2026.