Provider Demographics
NPI:1932142239
Name:FOOTE, WILLIAM ANDREW (DPM)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:ANDREW
Last Name:FOOTE
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:292 HUGHES DR
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08690-1323
Mailing Address - Country:US
Mailing Address - Phone:609-890-0255
Mailing Address - Fax:609-584-7109
Practice Address - Street 1:292 HUGHES DR
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08690-1323
Practice Address - Country:US
Practice Address - Phone:609-890-0255
Practice Address - Fax:609-584-7109
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MD00090500213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ222325672OtherUNITEDHEALTH CARE
NJ22-2325672OtherCIGNA HEALTH PLAN
NJ3003302Medicaid
NJP514699OtherOXFORD INSURANCE
NJ22-2325672OtherHORIZON BLUE CROSS,SHIELD
NJ0074308000OtherAMERIHEALTH
NJ22-2325672OtherHORIZON BLUE CROSS,SHIELD
NJT44617Medicare UPIN