Provider Demographics
NPI:1093931479
Name:JAMES J. FOSTER & ASSOCIATES, LTD
Entity Type:Organization
Organization Name:JAMES J. FOSTER & ASSOCIATES, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:J
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:603-668-7744
Mailing Address - Street 1:540 CHESTNUT ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03101-1447
Mailing Address - Country:US
Mailing Address - Phone:603-668-7744
Mailing Address - Fax:603-668-2605
Practice Address - Street 1:540 CHESTNUT ST
Practice Address - Street 2:SUITE 102
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03101-1447
Practice Address - Country:US
Practice Address - Phone:603-668-7744
Practice Address - Fax:603-668-2605
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2014-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30213117Medicaid
NHRE3656Medicare ID - Type Unspecified