Provider Demographics
NPI:1740327063
Name:FOSTER, ALAN K (DC)
Entity type:Individual
Prefix:
First Name:ALAN
Middle Name:K
Last Name:FOSTER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 UNION AVE
Mailing Address - Street 2:
Mailing Address - City:MIDDLESEX
Mailing Address - State:NJ
Mailing Address - Zip Code:08846-1039
Mailing Address - Country:US
Mailing Address - Phone:732-537-0009
Mailing Address - Fax:732-537-9966
Practice Address - Street 1:207 WEST UNION AVENUE
Practice Address - Street 2:
Practice Address - City:BOUND BROOK
Practice Address - State:NJ
Practice Address - Zip Code:08805
Practice Address - Country:US
Practice Address - Phone:732-537-0009
Practice Address - Fax:732-537-9966
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2019-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00557100111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
U35978Medicare UPIN
052088Medicare ID - Type Unspecified