Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 032347 | CT |
NPI | 1063497352 |
---|---|
Provider Name | Harris E Foster JR. |
First Address | New Haven, CT 06520-8041 |
Second Address | New Haven, CT 06520-8041 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/12/2005 |
Last Update Date | 14/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001323477 | (05) | CT |
F32694 | (02) |