Mrs. Omobukola Olayiwade Itua, RVT
Mrs. Omobukola Olayiwade Itua, RVT is an Undefined Non-Physician Type (Specify) in Hazlet, New Jersey. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in New Jersey.
- Years since qualifying
- 2
- Licensed in
- NJ
- In the registry since
- 2025
Practice location Address checks out
4 Skyline DrHazlet, NJ 07730-1679
Phone: (732) 910-2894
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Specialties & licences
| Vascular Sonography Radiologic Technologist (primary) | Taxonomy 2471V0105X · Licence 147925 (NJ) |
|---|
Record details
| NPI number | 1003780388 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | RVT |
| Sole proprietor | Yes |
| NPI enumerated | October 1, 2025 |
| Last updated in NPPES | October 1, 2025 |
| Certification date | October 1, 2025 |
Medicare enrollment
| Medicare specialty | UNDEFINED NON-PHYSICIAN TYPE (SPECIFY) |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Accepts Medicare assignment | Not indicated |
Other providers in Hazlet
-
Goodland Tlc Home Health Agency
4 Skyline Dr, Hazlet, NJ 07730-1679 · (732) 910-2894