Foster-Moore, Jonathan
Foster-Moore, Jonathan is an individual health care provider with primary practice located at 45 Dimock St , Roxbury MA 02119-1208. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Foster-Moore, Jonathan can be contacted via phone (617) 442-8800.Contact Information
Primary practice address
45 Dimock St
Roxbury MA 02119-1208
Phone: (617) 442-8800
Fax: (617) 541-8472
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 2330326 | Massachusetts |
Profile Details
| NPI number | 1790394096 |
|---|---|
| LBN Legal business name | Foster-Moore, Jonathan |
| Credentials | FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 23rd, 2020 |
| Last updated | Nov 16th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790394096 | NPPES |
| Massachusetts | MEDICAID | 110164952A |
Popular Providers
-
Vicente, Dena
1290 Tremont St , Roxbury MA 02120-3432 -
Adrien, Tamara
1290 Tremont St , Roxbury MA 02120-3432 -
Howard, Evin Joel
1290 Tremont St , Roxbury MA 02120-3432 -
Ellis, Michelle
1290 Tremont St , Roxbury MA 02120-3432 -
Rice, James Steven
1290 Tremont St , Roxbury MA 02120-3432 -
Haque-Ahmed, Jasmine F
1290 Tremont St , Roxbury MA 02120-3432 -
Tekie, Semere
76 Munroe St Unit 2, Roxbury MA 02119-1611 -
Diouf, Madiop
45 Dimock St , Roxbury MA 02119-1208