Provider Demographics
NPI:1629374152
Name:FOSTER, ROBERT F (DC)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:F
Last Name:FOSTER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:502 GALLOWS HILL RD
Mailing Address - Street 2:
Mailing Address - City:CRANFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07016-1705
Mailing Address - Country:US
Mailing Address - Phone:607-237-4478
Mailing Address - Fax:
Practice Address - Street 1:1090 KING GEORGES POST RD STE 501
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08837-3722
Practice Address - Country:US
Practice Address - Phone:732-661-1121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-01
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN/A111NI0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NI0900XChiropractic ProvidersChiropractorInternist