location
search-icon
person
Dr. Bruce Preston Theall, DPM
Podiatrist in East Orange, New Jersey
NPI 1831187434

Bruce Preston Theall is a Podiatrist based in East Orange, NJ. Bruce Preston Theall practices in East Orange, NJ and has the professional credentials of DPM. The NPI Number for Bruce Preston Theall is 1831187434 and holds a License No. 25MD00131000 (New Jersey).

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

Location: 310 Central Ave, East Orange, NJ, 07018-2835
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831187434
Provider Name
Bruce Preston Theall
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
310 Central Ave, East Orange, NJ, 07018-2835
Phone Number
973-673-3668
Fax Number
862-252-9542
Provider Enumeration Date
10/09/2005
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
4548860001 01 NJ MEDICARE NSC
institution
Provider Business Practice Location Address Details
Address
310 Central Ave
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 Ave
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
-
Taxonomy
213E00000X
License No.
25MD00131000 (New Jersey)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.