Healthcare Provider Details

I. General information

NPI: 1932142239
Provider Name (Legal Business Name): WILLIAM ANDREW FOOTE DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

292 HUGHES DR
HAMILTON NJ
08690-1323
US

IV. Provider business mailing address

292 HUGHES DR
HAMILTON NJ
08690-1323
US

V. Phone/Fax

Practice location:
  • Phone: 609-890-0255
  • Fax: 609-584-7109
Mailing address:
  • Phone: 609-890-0255
  • Fax: 609-584-7109

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number25MD00090500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: