Dr. Bruce Preston Theall is a East Orange, New Jersey based male podiatrist who is specialized in Podiatry. Active license number of Dr. Bruce Preston Theall for Podiatry is 25MD00131000 in New Jersey. Dr. Bruce Preston Theall is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Dr. Bruce Preston Theall speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Credentials:
DPM
Gender:
Male
Practice Address:
310 Central Ave, Suite 301, East Orange, New Jersey, 07018-2835
Phone:
973-673-3668
Fax:
862-252-9542
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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).
NPI details are as mentioned below.
NPI Number:
1831187434
NPI Enumeration Date:
09 Oct, 2005
NPI Last Update On:
09 Jan, 2009
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Bruce Preston Theall are as mentioned below.
License Number
Specialization
State
Status
25MD00131000
Podiatry
New Jersey
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Bruce Preston Theall such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
4548860001
Other
New Jersey
MEDICARE NSC
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
310 Central Ave, Suite 301 East Orange, New Jersey
Zip:
07018-2835
Phone Number:
973-673-3668
Fax Number:
862-252-9542
Patients can reach Dr. Bruce Preston Theall at 310 Central Ave, Suite 301, East Orange, New Jersey or can call to book an appointment on 973-673-3668. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
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