MEDICARE: DR. FOSTER P CARR M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	G66933	CA

General Provider Information

NPI Number	:	1194835918
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FOSTER P CARR M.D.

Provider Business Mailing Address
First Line	:	2534 STATE ST # 305
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92101-1316
Country	:	US
Telephone Number	:	877-271-6078
Fax Number	:	877-271-6078

Provider Business Practice Location Address
First Line	:	2534 STATE ST # 305
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92101-1316
Country	:	US
Telephone Number	:	877-271-6078
Fax Number	:	877-271-6078

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	08/24/2015

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