Provider Demographics
NPI:1124063037
Name:FOSTER, HARRIET H (MD)
Entity type:Individual
Prefix:DR
First Name:HARRIET
Middle Name:H
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 1:102 N SHEPPARD ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23221-3016
Mailing Address - Country:US
Mailing Address - Phone:804-320-3004
Mailing Address - Fax:804-675-5028
Practice Address - Street 1:1201 BROAD ROCK BLVD
Practice Address - Street 2:MCGUIRE VA HOSPITAL
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23249
Practice Address - Country:US
Practice Address - Phone:804-675-5427
Practice Address - Fax:804-675-5847
Is Sole Proprietor?:No
Enumeration Date:2006-06-17
Last Update Date:2017-02-08
Deactivation Date:2007-07-17
Deactivation Code:
Reactivation Date:2007-08-23
Provider Licenses
StateLicense IDTaxonomies
VA0101037013207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine