Graduated: 1998
NPI: 1972540607
Practice Locations (2)
IPTA CLINICAL, LLC
175 ROUTE 70, SUITE 19
MEDFORD, NJ 080552355
6097143378
IPTA CLINICAL, LLC
3 LIBERTY ST, SUITE 1032
PLAINSBORO, NJ 085362194
6097855386
Source: CMS National Downloadable File, September 2026.