Individual
BRIAN R BALSIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10 PETER COOPER DR, WAREHAM, MA 02571-2209
(508) 273-4200
(508) 273-4205
Mailing address
340 MAIN ST, STE. 670, WORCESTER, MA 01608-1604
(508) 754-3566
(508) 438-6364
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
220428
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2061911
—
MA
Enumeration date
07/07/2005
Last updated
10/05/2011
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