Provider Demographics
NPI:1346441698
Name:BAGUIORO, RODEL CAESAR (DPT)
Entity Type:Individual
Prefix:DR
First Name:RODEL
Middle Name:CAESAR
Last Name:BAGUIORO
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 N EVERGREEN RD APT 40C
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08837-2287
Mailing Address - Country:US
Mailing Address - Phone:732-487-1634
Mailing Address - Fax:
Practice Address - Street 1:50 N EVERGREEN RD APT 40C
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08837-2287
Practice Address - Country:US
Practice Address - Phone:732-487-1634
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-31
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA1195200225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist