Individual
ANNE KOROSHETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10215 FERNWOOD RD, SUITE 620, BETHESDA, MD 20817-1106
(301) 530-6646
(301) 530-0773
Mailing address
4110 ASPEN HILL ROAD, STE 200, ROCKVILLE, MD 20853
(301) 438-5150
(301) 460-0199
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
51928
MA
2085R0202X
Diagnostic Radiology Physician
Primary
D0066670
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022886K90
MEDICARE
—
05
—
039290100
—
DC
05
—
413835000
—
MD
05
—
6190847
—
MA
Enumeration date
09/30/2005
Last updated
12/20/2013
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