Individual
DR. WALTER JOSEPH KOROSHETZ
Active
Individual
DR. WALTER JOSEPH KOROSHETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
50968
MA
207RN0300X
Nephrology Physician
50968
MA
2084V0102X
Vascular Neurology Physician
Primary
50968
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050968
TUFTS HEALTH PLAN
MA
05
—
3014916
—
MA
01
—
J05512
BCBS MA
MA
Enumeration date
11/08/2005
Last updated
07/13/2026
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