D'Amato, Theodore A.

D'Amato, Theodore A. is an sole proprietor health care provider with primary practice located at 214 Chambersbridge Rd , Brick NJ 08723-2802. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. D'Amato, Theodore A. can be contacted via phone (732) 836-1374.

Contact Information

Primary practice address
214 Chambersbridge Rd Brick NJ 08723-2802
Phone: (732) 836-1374
Fax: (732) 936-1384
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 25MD00271000 New Jersey
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X N005580 New York

Profile Details

NPI number 1184720161
LBN Legal business name D'Amato, Theodore A.
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2006
Last updated Oct 17th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184720161 NPPES
New Jersey MEDICAID 8925607

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