Individual
MR. SAMUEL H FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 HOSPITAL RD, SUITE 306, PRINCE FREDERICK, MD 20678-4044
(410) 414-6559
(410) 414-5332
Mailing address
985 PRINCE FREDERICK BLVD STE 201, PRINCE FREDERICK, MD 20678-3492
(410) 535-2005
(410) 535-4850
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D0057820
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022L
MEDICARE GROUP ID
MD
01
—
256411400
MEDICAID GROUP NUMBER
MD
01
—
C041
BLUE CHOICE GROUP ID
DC
01
—
KB03
CAREFIRST GROUP ID
MD
Enumeration date
11/07/2005
Last updated
07/21/2022
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