Individual
GAVIN NEIL FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
44055 RIVERSIDE PKWY, STE 238, LEESBURG, VA 20176-5179
(703) 858-3070
(703) 858-3071
Mailing address
PO BOX 17334, BALTIMORE, MD 21297-1334
(703) 443-6717
(703) 443-8643
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101051733
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160048812
RR MEDICARE
VA
05
—
1609860915
—
VA
Enumeration date
09/01/2005
Last updated
02/07/2013
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