Individual
MR. JEREMIAH THOMAS FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, C.S.C.S.
Contact information
Practice address
360 HUNTINGTON AVE, 140 MARINO CENTER, BOSTON, MA 02115-5005
(617) 373-7766
(617) 373-8278
Mailing address
4 REYNOLDS RD, PEABODY, MA 01960-1613
(978) 531-9453
(617) 373-8278
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-76
MA
Other
Enumeration date
06/27/2006
Last updated
07/08/2007
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