Individual provider · Type 1 NPI

Bruce Preston Theall, DPM

Podiatrist · East Orange, NJ

NPI number 1831187434 Active

Practice location

310 Central Ave, Suite 301
East Orange, NJ 07018-2835

Fax (862) 252-9542

Specialties and licenses

TaxonomyCodeLicense
Podiatrist Primary 213E00000X25MD00131000 (NJ)

Podiatrist: 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.

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About NPI 1831187434

Bruce Preston Theall, DPM's National Provider Identifier is 1831187434, issued on Oct 9, 2005. The primary taxonomy on file is Podiatrist (213E00000X), and the practice location is in East Orange, NJ. The record was last updated on Jan 9, 2009.