Walter Joseph Koroshetz in Boston - Vascular Neurology
Walter Joseph Koroshetz - NPI 1255312211
Walter Joseph Koroshetz is a Vascular Neurology in Boston, Massachusetts. Walter Joseph Koroshetz practices all healthcare services and medical treatments related to Vascular Neurology. The NPI Number for Walter Joseph Koroshetz is 1255312211. The last update date is 2007-07-08.
Walter Joseph Koroshetz's current location address is 55 Fruit St, Boston, Massachusetts. You can contact this provider via phone number 6177267413 and fax number 6177262353. The mailing address for Walter Joseph Koroshetz is 55 Fruit St, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Walter Joseph Koroshetz |
|---|---|
| Address | 55 Fruit St, Boston, Massachusetts |
| Phone Number | 6177267413 |
| Fax Number | 6177262353 |
| Sole Proprietor | X |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1255312211 |
|---|---|
| Provider Enumeration Date | 2005-11-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 55 Fruit St |
|---|---|
| City | Boston |
| State | Massachusetts (MA) |
| Post Code | 21142621 |
| Phone Number | 6177267413 |
| Fax Number | 6177262353 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Neurology |
|---|---|
| Taxonomy | 2084V0102X |
| Licence No | 50968 |
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Definition: Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a lar |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| J05512 | MA | BCBS MA | |
| 50968 | MA | TUFTS HEALTH PLAN | |
| 3014916 | MA | -- |
Post Comment/ Review Below
Could you provide the complete address where Walter Joseph Koroshetz is physically located?
The Walter Joseph Koroshetz is situated at the following address: 55 Fruit St, Boston, MA 21142621.
Could you please share the complete physical location address where Walter Joseph Koroshetz's facilities are situated?
The facilities of Walter Joseph Koroshetz are physically located at the following address: 55 Fruit St, Boston, MA, 21142621.
What is Walter Joseph Koroshetz's specialized field of practice, and what is the corresponding taxonomy classification code?
The Walter Joseph Koroshetz's area of specialization is Vascular Neurology, and the corresponding taxonomy code that categorizes this field of practice is 2084V0102X.
On what date was the 1255312211 assigned to Walter Joseph Koroshetz?
The Walter Joseph Koroshetz was issued its 1255312211 on 2005-11-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Walter Joseph Koroshetz most recently updated?
The details pertaining to the Walter Joseph Koroshetz, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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