Provider Demographics
NPI:1326634288
Name:FOOTE, JAMES
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:FOOTE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 LIMERICK RD
Mailing Address - Street 2:
Mailing Address - City:TRUMBULL
Mailing Address - State:CT
Mailing Address - Zip Code:06611-1828
Mailing Address - Country:US
Mailing Address - Phone:120-340-0137
Mailing Address - Fax:
Practice Address - Street 1:368 LINCOLN BLVD
Practice Address - Street 2:
Practice Address - City:MIDDLESEX
Practice Address - State:NJ
Practice Address - Zip Code:08846-2368
Practice Address - Country:US
Practice Address - Phone:732-247-6666
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-15
Last Update Date:2020-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies