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Organization

HOLLY C FOOTE, DO, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HOLLY CHRISTINE FOOTE DO, MS (PRESIDENT)
(405) 795-8291
Entity
Organization

Contact information

Practice address
326 EDGEWATER TOWNE CTR, EDGEWATER, NJ 07020-2222
(405) 795-8291
Mailing address
326 EDGEWATER TOWNE CTR, EDGEWATER, NJ 07020-2222

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MB09608600
NJ
208600000X
Surgery Physician
272882-1
NY

Other

Enumeration date
12/09/2014
Last updated
12/09/2014
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