Individual provider · Type 1 NPI

Oluyinka Theodore Igberase, MD

Student in an Organized Health Care Education/Training Program · South Orange, NJ

NPI number 1295421972 Active

Practice location

31 Vose Ave Unit 372
South Orange, NJ 07079-6402

Call (415) 409-9569 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X4351051496 (MI)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1295421972

Oluyinka Theodore Igberase, MD's National Provider Identifier is 1295421972, issued on Apr 14, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in South Orange, NJ. The record was last updated on Jul 30, 2024.