Provider Demographics
NPI:1265967350
Name:DR. DEBRA FOSCHI
Entity type:Organization
Organization Name:DR. DEBRA FOSCHI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:FOSCHI
Authorized Official - Suffix:
Authorized Official - Credentials:DC, MS, LDN
Authorized Official - Phone:508-680-6107
Mailing Address - Street 1:22 CROSBY CIR
Mailing Address - Street 2:
Mailing Address - City:OSTERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02655-2030
Mailing Address - Country:US
Mailing Address - Phone:508-680-6107
Mailing Address - Fax:
Practice Address - Street 1:22 CROSBY CIR
Practice Address - Street 2:
Practice Address - City:OSTERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02655-2030
Practice Address - Country:US
Practice Address - Phone:508-680-6107
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-26
Last Update Date:2017-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAX007426111N00000X
MACH-1808111NN1001X, 273Y00000X, 276400000X, 302R00000X, 305R00000X, 385H00000X, 111N00000X
NYX007426111NN1001X, 302R00000X, 305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Single Specialty
No273Y00000XHospital UnitsRehabilitation UnitGroup - Single Specialty
No276400000XHospital UnitsRehabilitation, Substance Use Disorder Unit
No302R00000XManaged Care OrganizationsHealth Maintenance Organization
No305R00000XManaged Care OrganizationsPreferred Provider Organization
No305S00000XManaged Care OrganizationsPoint of Service
No385H00000XRespite Care FacilityRespite Care