DR. BRUCE THEALL, DPM
Podiatrist
Active
Individual
NPI: 1831187434
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Podiatrist | 213E00000X | Yes | 25MD00131000 (NJ) |
Frequently Asked Questions
NPI 1831187434 is the National Provider Identifier for DR. BRUCE THEALL, DPM, a Podiatrist provider located in East Orange, NJ. This NPI was enumerated on October 9, 2005.
DR. BRUCE THEALL, DPM practices at 310 CENTRAL AVE, SUITE 301, East Orange, NJ 07018.
Quick Facts
- NPI
- 1831187434
- Type
- Individual
- Enumerated
- Oct 9, 2005
- Last Updated
- Jan 9, 2009
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