Individual
DR. BABAK JIAN SEYEDAHMADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
97 LIBBEY INDUSTRIAL PKWY STE 100, EAST WEYMOUTH, MA 02189-3110
(781) 331-3300
(781) 337-8356
Mailing address
97 LIBBEY INDUSTRIAL PKWY STE 100, EAST WEYMOUTH, MA 02189-3110
(781) 331-3300
(781) 337-8356
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
239285
MA
207WX0107X
Retina Specialist (Ophthalmology) Physician
239285
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001117401
MEDICARE
MA
05
—
110083803A
—
MA
01
—
753511
TUFTS ASSOCIATED HEALTH PLAN
MA
01
—
AA217285
HARVARD PILGRIM
MA
Enumeration date
09/06/2006
Last updated
12/23/2021
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