Individual
DR. THOMAS JOHN FEOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
100 BELCHASE DR, SUITE 103, OLD BRIDGE, NJ 08857-9728
(732) 583-4800
(732) 583-0448
Mailing address
100 BELCHASE DR, SUITE 103, MATAWAN, NJ 07747-9728
(732) 583-4800
(732) 583-0448
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
25MD002635
NJ
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00263500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8476306
—
NJ
Enumeration date
06/06/2006
Last updated
02/16/2011
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