Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 270257 | MA |
Y | 2080P0204X | Pediatric Emergency Doctor | 270257 | MA |
NPI | 1306189717 |
---|---|
Provider Name | Ashley Alexandra Foster |
First Address | Boston, MA 02114-2621 |
Second Address | Boston, MA 02114-2621 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2013 |
Last Update Date | 27/07/2020 |