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Contact Information

OMOBUKOLA O ITUA, RVT
4 SKYLINE DR
HAZLET, NJ07730-1679
 Phone: 732-910-2894
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Sonography Radiologic Technologist

2471V0105X
Indicates primary specialty

NPI Profile & details for OMOBUKOLA O ITUA · (Female)

NPI Number 1003780388
Status Active
Credentials RVT
Entity Individual
Enumeration date 10/01/2025
Last updated 10/01/2025 - About 8 months ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 147925
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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