Individual
DR. BRIAN BALLIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
243 CHARLES ST RM 319, BOSTON, MA 02114-3002
(617) 573-3621
Mailing address
8 WHITTIER PL APT 21A, BOSTON, MA 02114-1426
(617) 510-8752
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
283016
MA
Other
Enumeration date
07/30/2020
Last updated
08/17/2020
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