BRUCE PRESTON THEALL

EAST ORANGE, NJ
NPI1831187434
Professional NameBRUCE PRESTON THEALL
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy213E00000X Podiatrist
(Licence: NJ  25MD00131000)
Enumeration Date2005-10-09
Last Update Date2009-01-09
Business Address
Dr. BRUCE PRESTON THEALL DPM
310 CENTRAL AVE SUITE 301
EAST ORANGE, NJ 07018-2835
Phone number: 973-673-3668
Mailing Address
Dr. BRUCE PRESTON THEALL DPM
310 CENTRAL AVE SUITE 301
EAST ORANGE, NJ 07018-2835
Phone number: 973-673-3668
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