# DR. THEODORE D'AMATO, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598861585
- **Authorized official:** DR. THEODORE A. D'AMATO DPM (PRESIDENT)
- **Authorized official phone:** (732) 836-1374

## Contact information

- **Practice address:** 214 CHAMBERSBRIDGE RD, BRICK, NJ 08723-2802
- **Practice address phone:** (732) 836-1374
- **Practice address fax:** (732) 836-1384
- **Mailing address:** 214 CHAMBERSBRIDGE RD, BRICK, NJ 08723-2802
- **Mailing address phone:** (732) 836-1374
- **Mailing address fax:** (732) 836-1384

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 09/16/2006
- **Last updated:** 10/17/2011