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Individual

DR. CHARLES STEPHEN FOSTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

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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