Bruce Theall Dpm LLC
NPI #1043518913 in East Orange, New Jersey
Provider Information
- NPI Number
- 1043518913
- Entity Type
- Organization
- Organization Name
- Bruce Theall Dpm LLC
- Primary Specialty
- Podiatrist - Foot & Ankle Surgery
- Enumeration Date
- Mar 2, 2011
- Last Updated
- Dec 10, 2013
Practice Location
- Address
- 310 CENTRAL AVENUE
- Address 2
- SUITE 301
- City
- East Orange
- State
- New Jersey
- ZIP Code
- 07018-2835
- Phone
- (973) 673-3668
Authorized Official
- Name
- BRUCE P THEALL, MD
- Title
- OWNER/MEDICAL DIRECTOR
- Phone
- (973) 673-3668
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Podiatrist - Foot & Ankle Surgery — Foot & Ankle Surgery |
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