Healthcare Provider Details

I. General information

NPI: 1811177744
Provider Name (Legal Business Name): MARTIN P KOLSKY MD CHARTERED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2007
Last Update Date: 11/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 IRVING ST NW #321 SOUTH
WASHINGTON DC
20010-2927
US

IV. Provider business mailing address

106 IRVING ST NW #321 SOUTH
WASHINGTON DC
20010-2927
US

V. Phone/Fax

Practice location:
  • Phone: 202-882-0200
  • Fax: 202-291-4130
Mailing address:
  • Phone: 202-882-0200
  • Fax: 202-291-4130

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MARTIN P KOLSKY
Title or Position: PRESIDENT
Credential: MD
Phone: 202-882-0200