Provider Demographics
NPI:1821204207
Name:BARSAMIAN, MARK D (DO)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:D
Last Name:BARSAMIAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:8 NOTTINGHAM RD
Mailing Address - Street 2:
Mailing Address - City:WESTBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01581-2408
Mailing Address - Country:US
Mailing Address - Phone:248-805-1013
Mailing Address - Fax:
Practice Address - Street 1:281 LINCOLN ST
Practice Address - Street 2:DEPT OF OPHTHALMOLOGY
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01605-2138
Practice Address - Country:US
Practice Address - Phone:508-334-6855
Practice Address - Fax:508-334-7695
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2020-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA243559207W00000X
IL125047344207W00000X
RIDO00851207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology