Healthcare Provider Details

I. General information

NPI: 1871818963
Provider Name (Legal Business Name): DONNA FOSTER-LOYND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2010
Last Update Date: 03/31/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 CABOT RD STE 209
MEDFORD MA
02155-5173
US

IV. Provider business mailing address

10 CABOT RD STE 209
MEDFORD MA
02155-5173
US

V. Phone/Fax

Practice location:
  • Phone: 781-879-8230
  • Fax: 781-395-0198
Mailing address:
  • Phone: 781-879-8230
  • Fax: 781-395-0198

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: