Doctor Name: | DR. THOMAS JOHN FEOLA |
NPI Number: | 1164461927 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | 25MD002635 |
Business Practice Address: | 100 Belchase Dr Suite 103 Old Bridge, NJ - 088579728 |
Business Phone Number: | 7325834800 |
Business Fax Number: | 7325830448 |
Mailing Address: | 100 Belchase Dr, Suite 103 MATAWAN |
State: | NJ |
Postal Code: | 077479728 |
Phone Number: | 7325834800 |
Fax Number: | 7325830448 |
NPI Enumeration Date: | 06/06/2006 |
NPI Last Update Date: | 02/16/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213EP1101X |
License Number: | 25MD002635 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Primary Podiatric Medicine |
Taxonomy Definition: |