Individual
DR. BABAK ELIASSI-RAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 FAUNCE CORNER RD STE 110, N DARTMOUTH, MA 02747-1255
(508) 717-0270
(508) 717-0270
Mailing address
500 FAUNCE CORNER RD STE 110, N DARTMOUTH, MA 02747-1255
(508) 717-0270
(508) 717-0268
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
205945
MA
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
205945
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
152365BMC
HARVARD PILGRIM HEALTH CA
MA
01
—
205945
TUFTS
MA
01
—
2485325
AETNA
MA
01
—
J23120
BCBS
MA
Enumeration date
09/27/2005
Last updated
07/13/2023
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