Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mary Katherine Kosciusko, MD

Individual provider Emergency Medicine Physician · NPI 1922701960

Mary Katherine Kosciusko, MD is an Emergency Medicine in Worcester, Massachusetts. Graduated from University of Connecticut School of Medicine in 2023, 3 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Massachusetts.

Years since qualifying
3
Trained at
University of Connecticut School of Medicine
Licensed in
MA
In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

55 Lake Ave N
Worcester, MA 01655-0002
Phone: (508) 421-1401
Fax: (508) 421-1490
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 111 Colchester Ave, Burlington, VT 05401-1473 — (802) 847-2345

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 1026041 (MA)

Record details

NPI number1922701960
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 27, 2023
Last updated in NPPESMay 1, 2026
Certification dateMay 1, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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