Individual
JAKE FOOTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3737 MARKET ST FL 6, PHILADELPHIA, PA 19104-5545
(121) 531-6515
Mailing address
4529 RIVERSIDE WAY, PHILADELPHIA, PA 19127-1568
(303) 601-4503
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
25MA12633000
NJ
Other
Enumeration date
06/10/2020
Last updated
06/04/2025
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