Provider Demographics
NPI:1699820654
Name:BAYLON, JIGGER JOHN (PT)
Entity Type:Individual
Prefix:MR
First Name:JIGGER
Middle Name:JOHN
Last Name:BAYLON
Suffix:
Gender:M
Credentials:PT
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Other - Last Name:
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Mailing Address - Street 1:8 BALDWIN AVE # 1F
Mailing Address - Street 2:BALDWIN PHYSICAL THERAPY
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07304-3154
Mailing Address - Country:US
Mailing Address - Phone:201-451-9900
Mailing Address - Fax:201-451-3900
Practice Address - Street 1:8 BALDWIN AVE # 1F
Practice Address - Street 2:PHYSICAL THERAPY
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07304-3154
Practice Address - Country:US
Practice Address - Phone:201-451-9900
Practice Address - Fax:201-451-3900
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2014-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01050900225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist