NPI | 1093230500 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM JOSEPH FOSTER Physician 855-250-3937 |
Organization Subpart ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: PA MD443007) |
Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: DE C1-0009712) |
Enumeration Date | 2017-08-04 |
Last Update Date | 2017-08-04 |