Graduated: 1995
NPI: 1942543202
Practice Locations (2)
IPTA CLINICAL, LLC
175 ROUTE 70, SUITE 19
MEDFORD, NJ 080552355
6097143378
IPTA CLINICAL, LLC
30 W MAPLE AVE
MERCHANTVILLE, NJ 081095104
8566610200
Source: CMS National Downloadable File, September 2026.