MEDICARE: DR. MATTHEW CHARLES FOSTER MD

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	207R00000X	Internal Medicine Physician	200500704	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902923253
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MATTHEW CHARLES FOSTER MD

Provider Business Mailing Address
First Line	:	170 MANNING DRIVE CB 7305
Second Line	:	3RD FLOOR PHYSICIANS OFFICE BUILDING
City	:	CHAPEL HILL
State	:	NC
Zip	:	27599-7305
Country	:	US
Telephone Number	:	919-843-2447
Fax Number	:	919-966-6735

Provider Business Practice Location Address
First Line	:	170 MANNING DRIVE CB 7305
Second Line	:	3RD FLOOR PHYSICIANS OFFICE BUILDING
City	:	CHAPEL HILL
State	:	NC
Zip	:	27599-7305
Country	:	US
Telephone Number	:	919-843-2447
Fax Number	:	919-966-6735

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

Provider Enumeration Date	:	03/23/2007
Last Update Date	:	04/11/2017

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