Provider Demographics
NPI:1285241174
Name:BARSAM HIGHHEALTH LLC
Entity type:Organization
Organization Name:BARSAM HIGHHEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPHTHALMOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:A
Authorized Official - Last Name:BARSAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-864-3600
Mailing Address - Street 1:135 BEAVER ST STE 309
Mailing Address - Street 2:
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02452-8412
Mailing Address - Country:US
Mailing Address - Phone:617-864-3600
Mailing Address - Fax:
Practice Address - Street 1:135 BEAVER ST STE 309
Practice Address - Street 2:
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02452-8412
Practice Address - Country:US
Practice Address - Phone:617-864-3600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-25
Last Update Date:2020-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty