Provider Demographics
NPI:1083814271
Name:RETINA AND VITREOUS OF DELAWARE COUNTY, PC
Entity Type:Organization
Organization Name:RETINA AND VITREOUS OF DELAWARE COUNTY, PC
Other - Org Name:WILLIAM J FOSTER, MD, PHD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-203-3573
Mailing Address - Street 1:491 BALTIMORE PIKE
Mailing Address - Street 2:#304
Mailing Address - City:SPRINGFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:19064-3810
Mailing Address - Country:US
Mailing Address - Phone:855-250-3937
Mailing Address - Fax:
Practice Address - Street 1:491 BALTIMORE PIKE
Practice Address - Street 2:#304
Practice Address - City:SPRINGFIELD
Practice Address - State:PA
Practice Address - Zip Code:19064-3810
Practice Address - Country:US
Practice Address - Phone:855-250-3937
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-25
Last Update Date:2011-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty