Individual
DR. ELIE R. BALESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
736 CAMBRIDGE ST, BRIGHTON, MA 02135-2907
(617) 789-3000
Mailing address
3660 BROADWAY, FORT MYERS, FL 33901-8005
(239) 936-2316
(239) 936-3099
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
ME142501
FL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
257182
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129244000
—
FL
Enumeration date
06/10/2011
Last updated
02/05/2026
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