Provider Demographics
NPI:1568811743
Name:FOSTER, ROBERT (BS, MSABAAHP)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:FOSTER
Suffix:
Gender:M
Credentials:BS, MSABAAHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91 WERTSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:RINGOES
Mailing Address - State:NJ
Mailing Address - Zip Code:08551-1106
Mailing Address - Country:US
Mailing Address - Phone:732-560-1717
Mailing Address - Fax:732-560-9717
Practice Address - Street 1:91 WERTSVILLE RD
Practice Address - Street 2:
Practice Address - City:RINGOES
Practice Address - State:NJ
Practice Address - Zip Code:08551-1106
Practice Address - Country:US
Practice Address - Phone:732-560-1717
Practice Address - Fax:732-560-9717
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-08
Last Update Date:2016-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ13VH01131200171WH0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171WH0202XOther Service ProvidersContractorHome Modifications