Provider Demographics
NPI:1912970575
Name:FOSTER, EDWIN NEIL (MD)
Entity type:Individual
Prefix:MR
First Name:EDWIN
Middle Name:NEIL
Last Name:FOSTER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1861 POWDER MILL ROAD
Mailing Address - Street 2:ATTN MEDICAL STAFF OFFICE
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-4723
Mailing Address - Country:US
Mailing Address - Phone:717-718-2041
Mailing Address - Fax:717-718-3470
Practice Address - Street 1:1861 POWDER MILL ROAD
Practice Address - Street 2:ATTN MEDICAL STAFF OFFICE
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-4723
Practice Address - Country:US
Practice Address - Phone:717-718-2041
Practice Address - Fax:717-718-3470
Is Sole Proprietor?:No
Enumeration Date:2006-02-13
Last Update Date:2023-04-04
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Provider Licenses
StateLicense IDTaxonomies
PAMD036351E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAC33517Medicare UPIN