Provider Demographics
NPI:1669817003
Name:FOSTER, YEVGENIYA GORA (MD)
Entity Type:Individual
Prefix:DR
First Name:YEVGENIYA
Middle Name:GORA
Last Name:FOSTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:333 CEDAR ST
Mailing Address - Street 2:ROOM WWW 209
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06510-3206
Mailing Address - Country:US
Mailing Address - Phone:203-785-5196
Mailing Address - Fax:203-785-4116
Practice Address - Street 1:333 CEDAR ST
Practice Address - Street 2:ROOM WWW 209
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510-3206
Practice Address - Country:US
Practice Address - Phone:203-785-5196
Practice Address - Fax:203-785-4116
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-29
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT65052207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine