Provider Demographics
NPI:1063639763
Name:FOSTER, RODGER ERNEST (DVM)
Entity Type:Individual
Prefix:DR
First Name:RODGER
Middle Name:ERNEST
Last Name:FOSTER
Suffix:
Gender:M
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 DARLING ST
Mailing Address - Street 2:
Mailing Address - City:SOUTHINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06489-2654
Mailing Address - Country:US
Mailing Address - Phone:860-621-9328
Mailing Address - Fax:860-620-6438
Practice Address - Street 1:35 DARLING ST
Practice Address - Street 2:
Practice Address - City:SOUTHINGTON
Practice Address - State:CT
Practice Address - Zip Code:06489
Practice Address - Country:US
Practice Address - Phone:860-621-9328
Practice Address - Fax:860-620-6438
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1748174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian