Provider Demographics
NPI:1578511994
Name:FOSTER, JILL ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:JILL
Middle Name:ANN
Last Name:FOSTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ERIE AVENUE AT FRONT STREET
Mailing Address - Street 2:ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19134
Mailing Address - Country:US
Mailing Address - Phone:215-427-5284
Mailing Address - Fax:215-427-4385
Practice Address - Street 1:ERIE AVENUE AT FRONT STREET
Practice Address - Street 2:ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19134
Practice Address - Country:US
Practice Address - Phone:215-427-5284
Practice Address - Fax:215-427-4385
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD047917L2080P0208X
MN682662080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0015985630005Medicaid
PA005019Medicare ID - Type Unspecified
PA0015985630005Medicaid