Bruce Theall DPM LLC
Podiatrist, Foot & Ankle Surgery in East Orange, New Jersey
1043518913- Practice location
- 310 Central Avenue, Suite 301, East Orange, NJ 07018-2835
- Phone
- 973-673-3668
- Fax
- 862-252-9542
- Last updated
- December 10, 2013
Bruce Theall DPM LLC is a healthcare organization based in East Orange, NJ. Bruce Theall DPM LLC practices in East Orange, NJ. The NPI Number for Bruce Theall DPM LLC is 1043518913. The current practice location address for Bruce Theall DPM LLC is 310 Central Avenue, Suite 301, East Orange, NJ 07018-2835 and can be reached out via phone at 973-673-3668 and via fax at 862-252-9542.
Provider Profile Details
- NPI Number
- 1043518913
- Provider Name
- Bruce Theall DPM LLC
- Provider Entity Type
- Organization
- Address
- 310 Central Avenue, Suite 301, East Orange, NJ 07018-2835
- Phone Number
- 973-673-3668
- Fax Number
- 862-252-9542
- Primary Taxonomy
- Podiatrist, Foot & Ankle Surgery · 213ES0103X
- Organization Subpart
- No
- Authorized Official
- Bruce P Theall, MD · Owner/Medical Director · 973-673-3668
- Provider Enumeration Date
- March 2, 2011
- Last Update Date
- December 10, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 310 Central Avenue
Suite 301
East Orange, NJ 07018-2835 - City
- East Orange
- State
- New Jersey
- Zip
- 07018-2835
- Phone Number
- 973-673-3668
- Fax Number
- 862-252-9542
Provider Business Mailing Address Details
- Address
- 310 Central Avenue
Suite 301
East Orange, NJ 07018-2835 - City
- East Orange
- State
- NJ
- Zip
- 07018-2835
- Phone Number
- 973-673-3668
- Fax Number
- 862-252-9542
License Information
- License State (1)
- NJ
- Taxonomy (1)
- Durable Medical Equipment & Medical Supplies · 332B00000X
- License State (2)
- NJ
- Taxonomy (2)
- Podiatrist, Foot & Ankle Surgery · 213ES0103X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Podiatrist, Foot & Ankle Surgery providers near East Orange, NJ
View all Podiatrist, Foot & Ankle Surgery providers in East Orange →- Dr Kenya LazovikPodiatrist, Foot & Ankle Surgery · NPI 1023721719
- Dr. Antonious W Eskandar, DPMPodiatrist, Foot & Ankle Surgery · NPI 1982846911
- Dr. Audrey Snell, DPMPodiatrist, Foot & Ankle Surgery · NPI 1578091005
- Dr. Augini R Sidhom, DPMPodiatrist, Foot & Ankle Surgery · NPI 1407207707
- Dr. Gerald W Jones Jr., DPMPodiatrist, Foot & Ankle Surgery · NPI 1891849758
- Dr. Marnell P Moore, DPMPodiatrist, Foot & Ankle Surgery · NPI 1821149451
Frequently Asked Questions
What is the NPI number of Bruce Theall DPM LLC?
The NPI number of Bruce Theall DPM LLC is 1043518913. It was assigned on March 2, 2011 and is currently active in the NPPES registry.
What is the specialty of Bruce Theall DPM LLC?
Bruce Theall DPM LLC is registered under the primary taxonomy Podiatrist, Foot & Ankle Surgery (code 213ES0103X).
Where does Bruce Theall DPM LLC practice?
The practice location is 310 Central Avenue, Suite 301, East Orange, NJ 07018-2835. The office can be reached at 973-673-3668 (phone) or 862-252-9542 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043518913 directly on the NPPES registry website.