Provider Demographics
NPI:1740203702
Name:FOSTER, SYLVIA (MD)
Entity type:Individual
Prefix:
First Name:SYLVIA
Middle Name:
Last Name:FOSTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 WEST ST
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-2824
Mailing Address - Country:US
Mailing Address - Phone:443-775-9910
Mailing Address - Fax:443-949-8871
Practice Address - Street 1:170 WEST ST
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-2824
Practice Address - Country:US
Practice Address - Phone:443-775-9910
Practice Address - Fax:443-949-8871
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00426742084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001057358Medicaid
PA117012OtherCBH
PA260016942OtherRR MEDICARE
PA0105735801OtherAMERICHOICE
PA403505HFHMedicare PIN