Provider Demographics
NPI:1013970342
Name:FOSTER MEDICAL CORP, TERRANCE J (MD)
Entity Type:Individual
Prefix:
First Name:TERRANCE
Middle Name:J
Last Name:FOSTER MEDICAL CORP
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:274 COHASSET RD
Mailing Address - Street 2:SUITE100
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-2236
Mailing Address - Country:US
Mailing Address - Phone:530-809-1283
Mailing Address - Fax:530-897-3758
Practice Address - Street 1:274 COHASSET RD
Practice Address - Street 2:SUITE100
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-2236
Practice Address - Country:US
Practice Address - Phone:530-809-1283
Practice Address - Fax:530-897-3758
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-08
Last Update Date:2014-10-31
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Provider Licenses
StateLicense IDTaxonomies
CAG38904207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G389040Medicaid
A47632Medicare UPIN