Individual
DR. MARK R. FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., M.D.
Contact information
Practice address
602 BALDWIN ST, BRIDGEVILLE, PA 15017-2525
(412) 414-2490
Mailing address
425 FIRST AVE. CHERRY WAY, 4TH FLOOR, PITTSBURGH, PA 15219-1321
(412) 391-5544
(412) 697-1117
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD023955E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009489250001
—
PA
Enumeration date
07/27/2006
Last updated
05/25/2016
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