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:
Health care specialties
| Specialty | Code | License # | 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 12 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 | 1215924790 | NPPES |
| Massachusetts | MEDICAID | 6190847 | |
| Massachusetts | MEDICAID | 413835000 | |
| Massachusetts | Other | 022886K90 | |
| Massachusetts | MEDICAID | 039290100 |
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