Individual
MR. CAYETANO MARK TUASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
554 BLOOMFIELD AVE, NEWARK, NJ 07107-1338
(973) 483-2277
Mailing address
15 HILLSBOROUGH CT, ROCKAWAY, NJ 07866-2242
(862) 215-4595
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01108600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5890450001
NJ MEDICARE DMERC
NJ
Enumeration date
07/01/2006
Last updated
02/28/2025
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