Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0208X | Pediatric Infectious Diseases | 68266 | MN |
N | 2080P0208X | Pediatric Infectious Diseases | MD047917L | PA |
NPI | 1578511994 |
---|---|
Provider Name | Dr. Jill Ann Foster |
First Address | Philadelphia, PA 19134 |
Second Address | Philadelphia, PA 19134 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2006 |
Last Update Date | 15/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0015985630005 | (05) | PA |
G63021 | (02) | PA |