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Individual

DR. RICHARD B. FOSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
174288-1
NY
2085R0202X
Diagnostic Radiology Physician
Primary
MD041395E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01094802
NY
01
110069224
RR MEDICARE PIN
PA
01
CC8362
RR MEDICARE
NY
01
CC9269
RR MEDICARE
PA
01
GU039853
MEDICARE GROUP
PA
01
P00198719
RR MEDICARE PIN
NY
Enumeration date
02/23/2006
Last updated
07/29/2011
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