Bruce Theall Dpm Llc

LBN: Bruce Theall Dpm Llc
Bruce Theall Dpm Llc is an health care organization with primary practice located at 310 Central Avenue Suite 301, East Orange NJ 07018-2835. The organization recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Suppliers / Durable Medical Equipment & Medical Supplies. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is the primary health care specialty. Bruce Theall Dpm Llc can be contacted via phone (973) 673-3668, or through Theall, Bruce P via phone (973) 673-3668.

Contact Information

Primary practice address
310 Central Avenue Suite 301 East Orange NJ 07018-2835
Phone: (973) 673-3668
Fax: (862) 252-9542
Website:
Map and Directions
Authorized official contact:
Name: Theall, Bruce P Doctor of Medicine (MD)
Phone: (973) 673-3668

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X New Jersey
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X New Jersey

Profile Details

NPI number 1043518913
LBN Legal business name Bruce Theall Dpm Llc
DBA Doing business as
Authorized official Theall, Bruce P Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 2nd, 2011
Last updated Dec 10th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers