Individual
DENNIS R PRONOWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1886
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0335843
—
MA
01
—
5780887
CIGNA
MA
01
—
725535
TUFTSHEALTHPLAN
MA
01
—
Y65104
BLUECROSSBLUESHIELD
MA
Enumeration date
11/21/2006
Last updated
03/20/2015
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