The calculated distance (air line) between Toamasina and Imerintsiatosika is approximately 148 miles respectively 239 kilometers.
By car or train, the actual journey to Imerintsiatosika is certainly longer, as only the direct route (as the crow flies) between Toamasina and Imerintsiatosika has been calculated here.
Air line (approximately)
239 kilometers
129 nautical miles