Individual
DR. ROBERT FOSTAKOWSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
451 W GONZALES RD, SUITE 340, OXNARD, CA 93036-9004
(805) 983-3900
(805) 983-3887
Mailing address
626 MESA DR, CAMARILLO, CA 93010-1338
(805) 983-3900
(805) 983-3887
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
A25905
CA
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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