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General NPI Number Information
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NPI Number | 1669047130
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Entity Type | Individual
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Provider Name | FOSTER MYLES G ABROKWAH CRNA
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Gender | Male
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Dates
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Enumeration Date | 05/26/2021
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 759 CHESTNUT ST # S6538
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City | SPRINGFIELD
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State | MA
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Zip | 01107-1619
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Country | US
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Telephone | 413-795-0754
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Fax |
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Provider Business Mailing Address
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Address Line | 99 E RIVER DR FL 5
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City | EAST HARTFORD
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State | CT
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Zip | 06108-7301
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Country | US
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Telephone | 860-282-4104
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 728812
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 12050
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RN2347529
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License Number State | MA
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