Individual
DR. MICHAEL TIMOTHY HRESKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6021
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6021
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
50281
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3033350
—
MA
Enumeration date
05/27/2006
Last updated
07/16/2007
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