Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | 25MA06338100 | NJ |
NPI | 1316052699 |
---|---|
Provider Name | Dr. Wayne Paul Foster |
First Address | Toms River, NJ 08755-8021 |
Second Address | Toms River, NJ 08755-8021 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2006 |
Last Update Date | 07/07/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F81130 | (02) | NJ |