Individual
ROYLETA FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
134 EVERGREEN PL STE 600, EAST ORANGE, NJ 07018-2011
(862) 253-6722
(877) 308-0406
Mailing address
134 EVERGREEN PL STE 600, EAST ORANGE, NJ 07018-2011
(862) 253-6722
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
05/11/2015
Last updated
11/17/2024
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