Individual
DR. CHARLES STEPHEN FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1440 MAIN STREET, SUITE 201, WALTHAM, MA 02451
(781) 891-6377
(617) 494-1430
Mailing address
1440 MAIN STREET, SUITE 201, WALTHAM, MA 02451
(781) 891-6377
(617) 494-1430
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
37755
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2030667
—
MA
01
—
703385
TUFTS HEALTH PLAN
MA
01
—
M08846
BCBS MA
MA
Enumeration date
11/21/2005
Last updated
05/08/2015
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