MEDICARE: DR. CHRISTOPHER FOLTERMAN 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	390200000X	Student in an Organized Health Care Education/Training Program
2	2085N0700X	Neuroradiology Physician	TRN34597	FL

General Provider Information

NPI Number	:	1780064261
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER FOLTERMAN M.D

Provider Business Mailing Address
First Line	:	203 W 85TH ST APT PH3
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10024-3929
Country	:	US
Telephone Number	:	321-298-9930
Fax Number	:

Provider Business Practice Location Address
First Line	:	8581 SW 32ND TER
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-3238
Country	:	US
Telephone Number	:	321-298-9300
Fax Number	:

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

Provider Enumeration Date	:	06/01/2015
Last Update Date	:	01/26/2023

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