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Individual

ATHANASIOS JAMES FOSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
380 STEVENS AVE, SUITE 100, SOLANA BEACH, CA 92075-2063
(858) 554-9800
Mailing address
10170 SORRENTO VALLEY RD, SAN DIEGO, CA 92121-1604
(858) 784-5888

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C37725
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0042620
CA
Enumeration date
01/13/2006
Last updated
12/17/2013
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