| Bruce Theall Dpm Llc | |
|
310 Central Avenue, Suite 301, East Orange, NJ 07018-2835 | |
| (973) 673-3668 | |
| (862) 252-9542 |
| Full Name | Bruce Theall Dpm Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 310 Central Avenue, East Orange, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043518913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (New Jersey) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (New Jersey) | Secondary |
| Provider Name | Emad Youssef |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1558747634 PECOS PAC ID: 8325394943 Enrollment ID: I20180711002717 |
| Provider Name | Priscilla D Seshie |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1588197602 PECOS PAC ID: 3678816212 Enrollment ID: I20190522000882 |
| Provider Name | Audrey Snell |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1578091005 PECOS PAC ID: 9739596297 Enrollment ID: I20210329001961 |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce Theall Dpm Llc 310 Central Avenue, Suite 301, East Orange, NJ 07018-2835 Ph: (973) 673-3668 | Bruce Theall Dpm Llc 310 Central Avenue, Suite 301, East Orange, NJ 07018-2835 Ph: (973) 673-3668 |
Happy Feet Podiatry Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 310 Central Ave Ste 303, East Orange, NJ 07018 Phone: 973-337-2893 Fax: 201-228-1689 | |
Dr Kenya Lazovik Podiatrist Medicare: Medicare Enrolled Practice Location: 310 Central Ave Ste 301, East Orange, NJ 07018 Phone: 201-943-7977 | |
Dr. Garfield Harford, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 444 Williams St, East Orange Primary Care Center, East Orange, NJ 07017 Phone: 973-675-1900 Fax: 973-675-8645 | |
Kordai I Decoteau, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 60 Evergreen Place, Suite 400, East Orange, NJ 07018 Phone: 973-395-1550 Fax: 973-395-1556 | |
Dr. Samuel Babatunde Adegboyega, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 310 Central Ave Ste 102, East Orange, NJ 07018 Phone: 973-207-1678 Fax: 732-862-1242 | |
Oxford Foot And Ankle Specialists Podiatrist Medicare: Medicare Enrolled Practice Location: 310 Central Ave Ste 102, East Orange, NJ 07018 Phone: 973-207-1678 Fax: 732-862-1242 |