Provider Demographics
NPI:1831264159
Name:KOSCIUK ROWE, TERESA ANN (MD)
Entity type:Individual
Prefix:DR
First Name:TERESA
Middle Name:ANN
Last Name:KOSCIUK ROWE
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:3401 COLUMBIA PIKE STE 200
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22204-4209
Mailing Address - Country:US
Mailing Address - Phone:703-717-7545
Mailing Address - Fax:703-271-8585
Practice Address - Street 1:3401 COLUMBIA PIKE STE 200
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22204-4209
Practice Address - Country:US
Practice Address - Phone:703-717-7545
Practice Address - Fax:703-271-8585
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA010145877208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics