IndividualActive
Omobukola Itua, RVT
NPI 1003780388 · Vascular Sonography Radiologic Technologist · Hazlet, NJ
Provider details
- NPI number
- 1003780388
- Entity type
- Individual
- Primary specialty
- Vascular Sonography Radiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- RVT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 147925 (NJ)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
4 Skyline Dr
Hazlet, NJ 07730-1679
Phone: (732) 910-2894
Approximate (ZIP-level) locationGet directions
Mailing address
4 Skyline Dr
Hazlet, NJ 07730-1679
Registry dates
- Enumerated
- 2025-10-01
- Last updated
- 2025-10-01
- Certified
- 2025-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.