The calculated distance (air line) between Fenoarivo Atsinanana and Toamasina is approximately 53 miles respectively 85 kilometers.
By car or train, the actual journey to Toamasina is certainly longer, as only the direct route (as the crow flies) between Fenoarivo Atsinanana and Toamasina has been calculated here.
Air line (approximately)
85 kilometers
46 nautical miles