Provider Demographics
NPI:1760484273
Name:FOSTER, RONALD DAVID (MD)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:DAVID
Last Name:FOSTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 CENTRE DR
Mailing Address - Street 2:SUITE 13
Mailing Address - City:MONROE TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08831-1565
Mailing Address - Country:US
Mailing Address - Phone:609-655-7752
Mailing Address - Fax:609-655-8065
Practice Address - Street 1:225 MAY ST
Practice Address - Street 2:SUITE F
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08837-3266
Practice Address - Country:US
Practice Address - Phone:732-738-8855
Practice Address - Fax:732-738-4141
Is Sole Proprietor?:No
Enumeration Date:2005-08-15
Last Update Date:2012-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05103000207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0322806Medicaid
NJ0K5448OtherHEALTHNET #
NJ110230390OtherRR MDCR #
NJ2598311OtherGHI PPO #
NJ4328383OtherAETNA PPO #
NJ223586872OtherTAX IDENTIFICATION #
NJP628909OtherOXFORD #
NJ19131OtherUNIVERSITY HEALTH PLANS #
NJ36N361OtherEMPIRE BC/BS #
NJ0413733000OtherAMERIHEALTH #
NJ220921OtherUNIFORMED SERVICES #
NJ770669OtherAETNA HMO #
NJE53605Medicare UPIN
NJ0K5448OtherHEALTHNET #