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Individual

GERALD F. FOSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
147 MILK ST, BOSTON, MA 02109-4806
(617) 654-7240
(617) 654-7177
Mailing address
147 MILK ST, PROVIDER ENROLLMENT 9TH FLOOR, BOSTON, MA 02109-4806
(617) 421-2508
(617) 421-3487

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
49010
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0014517
NEIGHBORHOOD HEALTH PLAN
MA
05
3179559
MA
01
796019
TUFTS HEALTH PLAN
MA
01
8585842-002
CIGNA
MA
01
J22450
BLUE CROSS
MA
01
P00136859
MEDICARE RAILROAD
MA
01
PD137
HARVARD PILGRIM
MA
Enumeration date
08/05/2006
Last updated
05/31/2011
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