Koroshetz, Anne

Koroshetz, Anne is an individual health care provider with primary practice located at 10215 Fernwood Rd Suite 620, Bethesda MD 20817-1106. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Koroshetz, Anne can be contacted via phone (301) 530-6646.

Contact Information

Primary practice address
10215 Fernwood Rd Suite 620 Bethesda MD 20817-1106
Phone: (301) 530-6646
Fax: (301) 530-0773
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 51928 Massachusetts
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X D0066670 Maryland

Profile Details

NPI number 1215924790
LBN Legal business name Koroshetz, Anne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Dec 20th, 2013 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215924790 NPPES
Massachusetts MEDICAID 6190847
Massachusetts MEDICAID 413835000
Massachusetts Other 022886K90
Massachusetts MEDICAID 039290100

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