Individual provider · Type 1 NPI

Priscilla Itua, MD

Student in an Organized Health Care Education/Training Program · Atlantic City, NJ

NPI number 1639811680 Active

Practice location

1925 Pacific Ave
Atlantic City, NJ 08401-6713

Mailing address

110 E Jimmie Leeds Rd
Galloway, NJ 08205-9479

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

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 1639811680

Priscilla Itua, MD's National Provider Identifier is 1639811680, issued on Apr 11, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Atlantic City, NJ. The record was last updated on Jun 5, 2022.