Provider Demographics
NPI:1013953207
Name:FOSTER, CHERIE D (MD)
Entity Type:Individual
Prefix:DR
First Name:CHERIE
Middle Name:D
Last Name:FOSTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CHERIE
Other - Middle Name:D
Other - Last Name:FOSTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:759 PROSPECT AVE
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-4080
Mailing Address - Country:US
Mailing Address - Phone:215-590-5213
Mailing Address - Fax:215-590-3051
Practice Address - Street 1:34TH & CIVIC CENTER BLVD
Practice Address - Street 2:CHILDREN'S HOSPITAL OF PHILADELPHIA
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104
Practice Address - Country:US
Practice Address - Phone:215-590-1000
Practice Address - Fax:215-561-0959
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2009-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD056872L208000000X, 2080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7099509Medicaid
PA0016047220004Medicaid
PA894093KPMedicare ID - Type Unspecified
PA0016047220004Medicaid