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Bruce Theall Dpm Llc
Durable Medical Equipment & Medical Supplies in East Orange, New Jersey
NPI 1043518913

Bruce Theall Dpm Llc is a Durable Medical Equipment & Medical Supplies based in East Orange, NJ. Bruce Theall Dpm Llc practices in East Orange, NJ. The NPI Number for Bruce Theall Dpm Llc is 1043518913 and holds a License No. (New Jersey).

The current practice location address for Bruce Theall Dpm Llc is 310 Central Avenue, East Orange, NJ and can be reached out via phone at 973-673-3668 and via fax at 862-252-9542.

Location: 310 Central Avenue, East Orange, NJ, 07018-2835
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043518913
Provider Name
Bruce Theall Dpm Llc
Credential
Provider Entity Type
Organization
Address
310 Central Avenue, East Orange, NJ, 07018-2835
Phone Number
973-673-3668
Fax Number
862-252-9542
Provider Enumeration Date
03/02/2011
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
310 Central Avenue
City
East Orange
State
New Jersey
Zip
07018-2835
Phone Number
973-673-3668
Fax Number
862-252-9542
person
Provider Business Mailing Address Details
Address
310 Central Avenue
City
East Orange
State
New Jersey
Zip
07018-2835
Phone Number
973-673-3668
Fax Number
862-252-9542
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
(New Jersey)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
(New Jersey)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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