Individual
DR. THEODORE A. D'AMATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
214 CHAMBERSBRIDGE RD, BRICK, NJ 08723-2802
(732) 836-1374
(732) 936-1384
Mailing address
214 CHAMBERSBRIDGE RD, BRICK, NJ 08723-2802
(732) 836-1374
(732) 936-1384
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00271000
NJ
213ES0103X
Foot & Ankle Surgery Podiatrist
N005580
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8925607
—
NJ
Enumeration date
09/16/2006
Last updated
10/17/2011
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