Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD056872L | PA |
Y | 2080N0001X | Neonatal-Perinatal Doctor | MD056872L | PA |
NPI | 1013953207 |
---|---|
Provider Name | Dr. Cherie D Foster |
First Address | Princeton, NJ 08540-4080 |
Second Address | Philadelphia, PA 19104 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2006 |
Last Update Date | 01/05/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0016047220004 | (05) | PA |
7099509 | (05) | NJ |
G43143 | (02) |