Provider Demographics
NPI:1215039458
Name:FOSTER, FRANKLIN JAMES JR (AT,C)
Entity Type:Individual
Prefix:MR
First Name:FRANKLIN
Middle Name:JAMES
Last Name:FOSTER
Suffix:JR
Gender:M
Credentials:AT,C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 DELAWARE AVE
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:NJ
Mailing Address - Zip Code:08075-4006
Mailing Address - Country:US
Mailing Address - Phone:856-824-0956
Mailing Address - Fax:
Practice Address - Street 1:311 W 5TH ST
Practice Address - Street 2:
Practice Address - City:PALMYRA
Practice Address - State:NJ
Practice Address - Zip Code:08065-1412
Practice Address - Country:US
Practice Address - Phone:856-303-1768
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MT001264002255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer