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Individual

JEFFREY ROBERT FOSTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9362 TOLLGATE DR, LONGMONT, CO 80503-9300
(303) 442-2269
(303) 444-0253
Mailing address
9362 TOLLGATE DR, LONGMONT, CO 80503-9300
(303) 442-2269
(303) 444-0253

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
108800
NY
2084P0800X
Psychiatry Physician
46351
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0004646457
AETNA ID#
NY
05
00192618
NY
01
0089662
GHI PROVIDER ID#
NY
01
108800
MEDICAL LICENSE
NY
01
46351
MEDICAL LICENSE
CO
01
JF06443010
EMPIRE BLUE SHIELD #
NY
01
NS3637
OXFORD HEALTH PLANS ID#
NY
Enumeration date
10/02/2006
Last updated
08/23/2008
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