Provider Demographics
NPI:1588998157
Name:FOSTER, JUDITH KIMBER (MS, CGC)
Entity type:Individual
Prefix:
First Name:JUDITH
Middle Name:KIMBER
Last Name:FOSTER
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 RIVER GLEN ROAD
Mailing Address - Street 2:
Mailing Address - City:WELLELSEY
Mailing Address - State:MA
Mailing Address - Zip Code:02481
Mailing Address - Country:US
Mailing Address - Phone:781-489-5494
Mailing Address - Fax:
Practice Address - Street 1:75 FRANCIS STREET
Practice Address - Street 2:CENTER FOR FETAL MEDICINE AND PRENATAL GENETICS
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02155
Practice Address - Country:US
Practice Address - Phone:617-732-4208
Practice Address - Fax:617-264-6310
Is Sole Proprietor?:No
Enumeration Date:2009-09-29
Last Update Date:2009-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAGC064170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS