Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | H0055003 | MD |
Y | 2081P2900X | Pain Medicine | 2602 | WV |
N | 2081P2900X | Pain Medicine | H0055003 | MD |
NPI | 1003826983 |
---|---|
Provider Name | Dr. Leslie Stephen Foster |
First Address | Hunt Valley, MD 21031-1002 |
Second Address | Martinsburg, WV 25401-9101 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2006 |
Last Update Date | 06/08/2021 |