Healthcare Provider Details

I. General information

NPI: 1790104982
Provider Name (Legal Business Name): JAMES J FOSTER & ASSOCIATES, LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2014
Last Update Date: 05/05/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 CHESTNUT ST SUITE 102
MANCHESTER NH
03101-1447
US

IV. Provider business mailing address

540 CHESTNUT ST SUITE 102
MANCHESTER NH
03101-1447
US

V. Phone/Fax

Practice location:
  • Phone: 603-668-7744
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number25
License Number StateNH

VIII. Authorized Official

Name: JAMES J FOSTER
Title or Position: PRESIDENT/DIRECTOR
Credential: LICSW
Phone: 603-668-7744