Dr Walter Joseph Koroshetz, MD - Psychiatry & Neurology in Boston, MA

Dr Walter Joseph Koroshetz, MD is a Psychiatry & Neurology - Vascular Neurology physician based in Boston, Massachusetts. Dr Walter Joseph Koroshetz is licensed to practice in Massachusetts (license number 50968) and his current practice location is 55 Fruit St, Vbk 915, Boston, Massachusetts. He can be reached at his office (for appointments etc.) via phone at (617) 726-7413.

NPI number for Dr Walter Joseph Koroshetz is 1255312211 and his current mailing address is Po Box 9142, Charlestown, Massachusetts. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1255312211.

Contact Information

Dr Walter Joseph Koroshetz, MD
55 Fruit St, Vbk 915,
Boston, MA 02114-2621
(617) 726-7413
(617) 726-2353

Map and Direction




Physician's Profile

Full NameDr Walter Joseph Koroshetz
GenderMale
SpecialityPsychiatry & Neurology - Vascular Neurology
Location55 Fruit St, Boston, Massachusetts
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1255312211
  • Provider Enumeration Date: 11/08/2005
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Walter Joseph Koroshetz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255312211NPI-NPPES
J05512OtherMABCBS MA
050968OtherMATUFTS HEALTH PLAN
3014916MedicaidMA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 50968 (Massachusetts)Primary
207RN0300XInternal Medicine - Nephrology 50968 (Massachusetts)Primary
2084V0102XPsychiatry & Neurology - Vascular Neurology 50968 (Massachusetts)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Walter Joseph Koroshetz is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Walter Joseph Koroshetz, MD
Po Box 9142,
Charlestown, MA 02129-9142

Ph: (617) 724-0287
Dr Walter Joseph Koroshetz, MD
55 Fruit St, Vbk 915,
Boston, MA 02114-2621

Ph: (617) 726-7413

Reviews and Comments


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