Individual
PETER J FOOTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
21 BELMONT AVE, SUITE 2, BRATTLEBORO, VT 05301-7110
(802) 257-7792
(802) 254-7001
Mailing address
21 BELMONT AVE, SUITE 2, BRATTLEBORO, VT 05301-7110
(802) 257-7792
(802) 254-7001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0320069794
VT
207Q00000X
Family Medicine Physician
25MB07656100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1018240
—
VT
Enumeration date
07/06/2006
Last updated
11/10/2010
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