Provider Demographics
NPI:1447446729
Name:BAGABALDO, MARIA-CRISTINA (RN)
Entity type:Individual
Prefix:
First Name:MARIA-CRISTINA
Middle Name:
Last Name:BAGABALDO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 MESSENGER CT
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-6404
Mailing Address - Country:US
Mailing Address - Phone:732-505-3268
Mailing Address - Fax:
Practice Address - Street 1:44 MESSENGER CT
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-6404
Practice Address - Country:US
Practice Address - Phone:732-505-3268
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-19
Last Update Date:2007-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO12472600163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse