| NPI | 1376417659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMOBUKOLA ITUA Manager 732-910-2894 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2471V0105X Radiologic Technologist, Vascular Sonography |
| Enumeration Date | 2025-10-01 |
| Last Update Date | 2025-10-27 |