Individual
MICHAEL KOLOSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-2000
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2696
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
274008
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/14/2013
Last updated
07/18/2018
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