Provider Demographics
NPI:1770589301
Name:ASWAD, MILHIM I (MD)
Entity type:Individual
Prefix:
First Name:MILHIM
Middle Name:I
Last Name:ASWAD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:980 WASHINGTON ST
Mailing Address - Street 2:SUITE 120
Mailing Address - City:DEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02026-6731
Mailing Address - Country:US
Mailing Address - Phone:781-251-2222
Mailing Address - Fax:781-234-0279
Practice Address - Street 1:980 WASHINGTON ST
Practice Address - Street 2:SUITE 120
Practice Address - City:DEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02026-6731
Practice Address - Country:US
Practice Address - Phone:781-251-2222
Practice Address - Fax:781-234-0279
Is Sole Proprietor?:No
Enumeration Date:2005-06-28
Last Update Date:2011-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA58957207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
150709OtherHARVARD PILGRIM PPO
150709OtherHARVARD/PILGRIM
718195OtherTUFTS
0063847OtherCIGNA HEALTH CARE
E56942OtherFIRST SENIORITY
J10092OtherBLUE SHIELD-INDEMNITY
0016752OtherNEIGHBORHOOD HEALTH PLAN
718195OtherTUFTS COMMONWEALTH PPO
J10092OtherBS-BLUE CARE 66
0063847OtherHEALTHSOURCE MA
150709OtherHARVARD PILGRIM POS
180034282OtherRAILROAD MEDICARE
27385OtherCHILDREN'S MEDICAL SECURI
718195OtherTUFTS BENEFIT ADMINSTRATO
J10092OtherBS-BLUE CARE ELECT
J10092OtherHMO BLUE/BLUE CHOICE
35093OtherDAVIS VISION (UNICARE)
3067599OtherMASS HEALTH (DIV OF MED S
E56942Medicare UPIN
27385OtherCHILDREN'S MEDICAL SECURI