Individual
LYDIA KOROSHETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-2000
Mailing address
2037 MOUNT VERNON ST APT 2R, PHILADELPHIA, PA 19130-3224
(240) 994-7929
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
A186182
CA
207P00000X
Emergency Medicine Physician
Primary
MT220245
PA
Other
Enumeration date
06/13/2020
Last updated
06/10/2023
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