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BRIAN R BALSIS M.D.

>> Anesthesiology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1225035066

Individual Registrant:
 BRIAN R BALSIS M.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
10 PETER COOPER DR  WAREHAM, MA 02571-2209 US
Tel: 508-273-4200  Fax: 508-273-4205

Contact information for business:
340 MAIN ST STE. 670 WORCESTER, MA 01608-1604 US
Tel: 508-754-3566  Fax: 508-438-6364

Registration Information:
NPI: 1225035066
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207L00000XAllopathic & Osteopathic Physicians
Anesthesiology
MA220428

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
2061911MA05




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