Organization
CLIFFORD J PRESTIA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFFORD J PRESTIA MD (OWNER)
(413) 737-0950
Entity
Organization
Contact information
Practice address
125 LIBERTY ST, STE 401, SPRINGFIELD, MA 01103-1117
(413) 737-0950
(413) 737-2944
Mailing address
125 LIBERTY ST, STE 401, SPRINGFIELD, MA 01103-1117
(413) 737-0950
(413) 737-2944
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35199
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
035199
TUFTS HEALTH PLAN
—
01
—
15565
HEALTH NEW ENGLAND
—
01
—
48411
CONNECTICARE
MA
01
—
65187
HARVARD PILGRIM
—
01
—
H01009
BLUE CROSS BLUE SHIELD
MA
Enumeration date
04/18/2006
Last updated
08/22/2020
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